NPIMap

Individual provider Active NPI

Haitham T Kanneh, M.D.

  • Pulmonary Disease Physician
  • Wyomissing, PA
National Provider Identifier
1376733071
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD450895 Issued in PA
Practice address
2608 Keiser Blvd
Wyomissing, PA 19610-1961
Phone
(610) 685-5864
Fax
(610) 929-1528
NPI assigned
Jul 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD450895 PA
Pulmonary Disease Physician 207RP1001X MD450895 PA Primary

Addresses

Primary practice location

2608 Keiser Blvd
Wyomissing, PA 19610-1961

Mailing address

2608 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (610) 685-5864

Other practice location 1

13 Armand Hammer Blvd
Pottstown, PA 19464-5067
Phone (610) 685-5864

Other practice location 2

1011 W Baltimore Pike
West Grove, PA 19390-9446
Phone (610) 685-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140930001813 PA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6406989896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Respiratory Specialists LTDGroup PAC ID 6204812076, 18 clinicians

Practice addresses (Care Compare)

2608 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (610) 685-5864

Hospital & facility affiliations

  • Reading Hospital Hospital, West Reading, PA, CCN 390044
  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096
  • Pottstown Hospital Hospital, Pottstown, PA, CCN 390123
  • Phoenixville Hospital Hospital, Phoenixville, PA, CCN 390127
  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256

Merit-based Incentive Payment System (MIPS)

Final score
74.57 of 100Reported as group
Quality
58.95
Promoting interoperability
60
Improvement activities
40
Cost
79.57

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Respiratory Specialists LTD Critical Care Medicine CurrentSince Aug 18, 2014 Accepting new patients
Reading Hospital Internal Medicine Past Accepting new patients

Locations

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

1011 W Baltimore Pike
West Grove, PA 19390
Phone (215) 869-1074

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

2608 Keiser Blvd
Wyomissing, PA 19610
Phone (610) 929-5864

Interoperability endpoints

  • Direct secure messaging: hkanneh@respiratoryspecialists.medentdirect.com

Organizations & group practices 2

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 11

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": "1185580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1376733071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 KEISER BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103333",
            "telephone_number": "610-685-5864",
            "fax_number": "610-929-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 KEISER BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101961",
            "telephone_number": "610-685-5864",
            "fax_number": "610-929-1528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 Armand Hammer Blvd",
            "address_purpose": "LOCATION",
            "city": "Pottstown",
            "state": "PA",
            "postal_code": "194645067",
            "country_code": "US",
            "telephone_number": "610-685-5864",
            "fax_number": "610-929-1528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 W Baltimore Pike",
            "address_purpose": "LOCATION",
            "city": "West Grove",
            "state": "PA",
            "postal_code": "193909446",
            "country_code": "US",
            "telephone_number": "610-685-5864",
            "fax_number": "610-929-1528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANNEH",
        "first_name": "HAITHAM",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-28",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD450895",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD450895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.