Individual provider Active NPI

Kevin James Hammel

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1356809230
Registry record updated Mar 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP019522 Issued in PA
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

Updated by the provider on Mar 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190416001419 PA Practitioner - Nurse Practitioner 4587905716 Reassigns benefits to 6 organizations
I20230609001246 NJ Practitioner - Nurse Practitioner 4587905716 Reassigns benefits to 1 organization

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
Suburban Pulmonary Medicine, P. C.Group PAC ID 9234119843, 3 clinicians
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

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

LicenseStateTypeSpecialty
SP019522PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CMC of PA PC CurrentSince Dec 14, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 1, 2023 Accepting new patients
Hammad Raza PC CurrentSince Jun 1, 2024 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Feb 25, 2023 Accepting new patients
Guffanti Wound Associates PLLC CurrentSince Jan 2, 2023 Accepting new patients
Main Line Healthcare CurrentSince Sep 17, 2022 Accepting new patients
Suburban Pulmonary Medicine, P. C. CurrentSince Jun 4, 2021 Accepting new patients
Complete Mind Care of PA, LLC PastSince Jan 1, 2023 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

  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.