Kevin H Olsen, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD042779E Issued in PA

Practice address

2603 Stafford Avenue
Scranton, PA 18505-3608

Phone

(570) 558-5558

Fax

(570) 558-5557

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

90.3 of 100Reported as individual

Quality

91.84

Improvement activities

40

Cost

78.56

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Kevin H. Olsen M.D. PC

  • Cardiovascular Disease Physician
  • Scranton, PA
  • NPI 1659572733
  Authorized official Same address or phone

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1376634949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 STAFFORD AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185053608",
            "telephone_number": "570-558-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 STAFFORD AVENUE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185053608",
            "telephone_number": "570-558-5558",
            "fax_number": "570-558-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "KEVIN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD042779E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011413170012",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheryl Lynn Oleski, DO
• Denise Marie Olewnik, MS,OTR/L
• Christine Oliveras, LMT
• Lindsey Oliveri
• Femi Olokodana, MD ,PT
• Omni Health Services, Inc.
• Omni Health Services, Inc.
• One-Call Ambulance LLC
• Paul Ralph Oneill, CAADC
• Marie Onukiavage

• Cardiovascular Disease Physician in Scranton, PA
• Providers in Scranton, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.

Verify at the official NPI Registry.