Megan Rae Kistler, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD457127 Issued in PA

Practice address

1811 Bethlehem Pike
Suite A106
Flourtown, PA 19031-1111

Phone

(215) 836-1700

Fax

(215) 836-2705

NPI assigned

Apr 9, 2013

Last updated

Jun 6, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Megan Elizabeth Rae Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Children's Hospital of Philadelphia

  dba Flourtown Healthy Weight

  • Nutritionist
  • Erdenheim, PA
  • NPI 1558913582
  NPD (past)
• Children's Hospital of Philadelphia

  dba Care Network HighPoint

  • Pediatrics Physician
  • Chalfont, PA
  • NPI 1629158803
  NPD (past)
• Children's Hospital of Philadelphia

  dba Care Network Flourtown

  • Pediatrics Physician
  • Erdenheim, PA
  • NPI 1831262732
  NPD (past)

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1326481391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 BETHLEHEM PIKE",
            "address_2": "SUITE A106",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311111",
            "telephone_number": "215-836-1700",
            "fax_number": "215-836-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 BETHLEHEM PIKE",
            "address_2": "SUITE A106",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311111",
            "telephone_number": "215-836-1700",
            "fax_number": "215-836-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISTLER",
        "first_name": "MEGAN",
        "middle_name": "RAE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD457127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "RAE",
            "middle_name": "ELIZABETH",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea Lynn Katin, M.S.W.
• Melissa E Keenan, OTR/L
• Jennifer Keller, CRNP
• Larry Keller, DO
• Meryl Claire Kern, OTR
• Elizabeth Ann Krimmel, D.C.
• Bruce A Kristiniak, DMD
• Natalia Kucharska, PT, DPT
• Jacqueline Kugler
• Jennifer Lynn Lamalfa, OTRL

• Pediatrics Physician in Flourtown, PA
• Providers in Flourtown, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.