Individual provider Active NPI

Rene Phillips Kessler

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1356909329
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD476449 Issued in PA
Practice address
133 W Hunting Park Ave Ste 300a
Philadelphia, PA 19140-2717
Phone
(215) 324-0600
Fax
(215) 324-2769
NPI assigned
Jun 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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 MD476449 PA Primary

Addresses

Primary practice location

133 W Hunting Park Ave Ste 300a
Philadelphia, PA 19140-2717

Mailing address

3500 N. Broad Street
Room 001a
Philadelphia, PA 19140-4106
Phone (215) 926-9022

Other practice location 1

1001 S George St
York, PA 17403-3676
Phone (717) 851-2521

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
I20220621001099 PA Practitioner - Family Practice 8224365630 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fair Hill Community PhysiciansGroup PAC ID 1850746215, 11 clinicians

Practice addresses (Care Compare)

133 W Hunting Park Ave
Philadelphia, PA 19140-2717
Phone (215) 324-0600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Physician Inc. CurrentSince Aug 1, 2022 Accepting new patients
Fair Hill Community Physicians Family Medicine CurrentSince Jul 2, 2023 Accepting new patients
Temple Physicians Inc Family Medicine Current Accepting new patients
Temple Physicians Inc. CurrentSince Aug 1, 2022 Accepting new patients
Temple Physicians Inc Family Medicine Past Accepting new patients

Locations

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

133 W Hunting Park Ave
Ste 300A
Philadelphia, PA 19140
Phone (215) 324-0600

3500 N Broad St
Rm 1A
Philadelphia, PA 19140
Phone (215) 707-2433

133 W Hunting Park Ave
Philadelphia, PA 19140
Phone (215) 324-0600

1300 W Lehigh Ave
Philadelphia, PA 19132
Phone (215) 226-8800

Organizations & group practices 5

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": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1356909329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N. BROAD STREET",
            "address_2": "ROOM 001A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404106",
            "telephone_number": "215-926-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W HUNTING PARK AVE STE 300A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191402717",
            "telephone_number": "215-324-0600",
            "fax_number": "215-324-2769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033676",
            "country_code": "US",
            "telephone_number": "717-851-2521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "RENE",
        "middle_name": "PHILLIPS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD476449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.