Individual provider Active NPI

Henry John Kneidinger, D.O

  • Family Medicine Physician
  • Pennsburg, PA
National Provider Identifier
1326091190
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS003445L Issued in PA
Practice address
1454 Markley Rd
Pennsburg, PA 18073-1924
Phone
(215) 679-8783
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS003445L PA Primary

Addresses

Primary practice location

1454 Markley Rd
Pennsburg, PA 18073-1924

Mailing address

1454 Markley Rd
Pennsburg, PA 18073-1924
Phone (215) 679-8783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160418002180 PA Order and Referring Only - Family PracticePractitioner - Family Practice 9436221231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS003445LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Medical Group Family Medicine Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1326091190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 MARKLEY RD",
            "city": "PENNSBURG",
            "state": "PA",
            "postal_code": "180731924",
            "telephone_number": "215-679-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 MARKLEY RD",
            "city": "PENNSBURG",
            "state": "PA",
            "postal_code": "180731924",
            "telephone_number": "215-679-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEIDINGER",
        "first_name": "HENRY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS003445L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsburg, PA

Sources for this page

Verify at the official NPI Registry.