Active NPI
Kevin James Hammel
- Family Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP019522
- Practice address
- 404 N 65TH St
Philadelphia, PA 19151-4003 - Phone
- (215) 300-5992
- NPI assigned
- Mar 9, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP019522 | PA | Primary |
Addresses
Primary practice location
404 N 65TH St
Philadelphia, PA 19151-4003
Mailing address
404 N 65TH St
Philadelphia, PA 19151-4003
Phone (215) 300-5992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Bartol Ave
Suite 14
Ridley Park, PA 19078-2214
Phone (610) 521-1300
1068 W Baltimore Pike
Media, PA 19063-5104
Phone (610) 566-9400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP019522 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMC of PA PC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Hammad Raza PC | Current | Accepting new patients | |
| Signify Health Medical Associates of New Jersey, LLC | Current | Accepting new patients | |
| Guffanti Wound Associates PLLC | Current | Accepting new patients | |
| Main Line Healthcare | Current | Accepting new patients | |
| Suburban Pulmonary Medicine, P. C. | Current | Accepting new patients | |
| Complete Mind Care of PA, LLC | Past | Accepting new patients | |
| CMC of PA PC | Past | Accepting new patients |
Locations
116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094
1021 Old York Rd
Ste 301
Abington, PA 19001
Phone (215) 254-6000
130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000
715 Twining Rd
Ste 120
Dresher, PA 19025
600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339
721 Dresher Rd
Ste 1100
Horsham, PA 19044
Phone (215) 254-6000
120 S Filbert St
Mechanicsburg, PA 17055
Phone (717) 458-0930
1068 W Baltimore Pike
Media, PA 19063
Phone (610) 566-9400
6129 Palmetto St
Philadelphia, PA 19111
Phone (215) 722-8555
1 Bartol Ave
Ste 14
Ridley Park, PA 19078
Phone (610) 521-1300
795 E Lancaster Ave
Ste 210
Villanova, PA 19085
Phone (215) 254-6000
100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/2b76d21c-b20a-42c8-bad0-54a58e0ed059/
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Newtown Square, PA
- NPI 1922077643
-
- Pulmonary Disease Physician
- Ridley Park, PA
- NPI 1407876295
-
- Psychiatry Physician
- Horsham, PA
- NPI 1083341341
-
- Acute Care Nurse Practitioner
- Wayne, PA
- NPI 1043935414
-
- Hospitalist Physician
- West Chester, PA
- NPI 1164932836
-
- General Practice Physician
- Princeton, NJ
- NPI 1174187728
-
- Psychiatry Physician
- Villanova, PA
- NPI 1477321230
-
- Adult Mental Health Clinic/Center
- Abington, PA
- NPI 1972218667
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- East Norriton, PA
- NPI 1104192590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552089600000",
"number": "1356809230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 N 65TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191514003",
"telephone_number": "215-300-5992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 N 65TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191514003",
"telephone_number": "215-300-5992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMEL",
"first_name": "KEVIN",
"middle_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-09",
"last_updated": "2019-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP019522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.