Kathleen O Ververeli, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

53463 Issued in KY

Practice address

400 Elk Chase CT
Taylorsville, KY 40071-7260

Phone

(610) 442-8585

NPI assigned

May 8, 2006

Last updated

Jul 31, 2023By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Center for Allergy and Asthma Care, LLC

  • Allergy Physician
  • Allentown, PA
  • NPI 1902988470
  Medicare reassignment NPD
• Raymond Khoudary, MD

  • Allergy & Immunology Physician
  • Plains, PA
  • NPI 1396727236
  Medicare reassignment

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1427007616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ELK CHASE CT STE 103",
            "city": "TAYLORSVILLE",
            "state": "KY",
            "postal_code": "400717260",
            "telephone_number": "610-442-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ELK CHASE CT",
            "city": "TAYLORSVILLE",
            "state": "KY",
            "postal_code": "400717260",
            "telephone_number": "610-442-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERVERELI",
        "first_name": "KATHLEEN",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "KY",
            "license": "53463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015088700005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Deon Swain, M.D.
• Tyler Tackett, DPT
• Taylorsville Chiropractic, Inc
• Melissa Thomas, PA-C
• Venture Anesthesia, Inc.
• Prodromos A Ververeli, M.D.
• Kevin James Wadle, DC
• Zehra Waits, MS, OTR/L
• Rachel Weedman
• Laverne Wheatley-Terry

• Allergy & Immunology Physician in Taylorsville, KY
• Providers in Taylorsville, KY by specialty
• Allergy & Immunology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.