Individual provider Active NPI

Kenneth Lepone, M.D.

  • Family Medicine Physician
  • Littlestown, PA
National Provider Identifier
1386643906
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD037097E Issued in PA
Practice address
300 W King St Ste C
Littlestown, PA 17340-1446
Phone
(717) 339-2390
Fax
(717) 359-4178
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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 MD037097E PA Primary

Addresses

Primary practice location

300 W King St Ste C
Littlestown, PA 17340-1446

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-1405

Other identifiers 2

IdentifierTypeStateIssuer
001065485MedicaidPA
476898FLTOtherPAMEDICARE

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
I20040514000657 PA Practitioner - Family Practice 5991795924 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD037097EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince May 5, 2017 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group Family Medicine CurrentSince May 5, 2017 Accepting new patients

Locations

300 W King St
Ste C
Littlestown, PA 17340
Phone (717) 339-2390

101 Fairview Cir
North Cornwall, PA 17042
Phone (717) 279-7303

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

Organizations & group practices 3

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1386643906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W KING ST STE C",
            "city": "LITTLESTOWN",
            "state": "PA",
            "postal_code": "173401446",
            "telephone_number": "717-339-2390",
            "fax_number": "717-359-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPONE",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD037097E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001065485",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "476898FLT",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littlestown, PA

Sources for this page

Verify at the official NPI Registry.