NPIMap

Individual provider Active NPI

Kathleen Minerly, D.O.,

  • Family Medicine Physician
  • Reading, PA
National Provider Identifier
1447608427
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS019616 Issued in PA
Practice address
145 N 6TH St
Reading, PA 19601-3096
Phone
(610) 208-4558
NPI assigned
May 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS019616 PA Primary
Family Medicine Physician 207Q00000X OT016939 PA

Addresses

Primary practice location

145 N 6TH St
Reading, PA 19601-3096

Mailing address

454 S 4TH St
Hamburg, PA 19526-1306
Phone (607) 759-7979

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
I20190909000040 PA Practitioner - Family Practice 3274826482 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenixville Clinic Company LLCGroup PAC ID 5799796850, 135 clinicians
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians
Tower Health Medical GroupGroup PAC ID 7618889213, 578 clinicians

Practice addresses (Care Compare)

140 Nutt Rd
Phoenixville, PA 19460-3906
Phone (610) 983-1000

255 W Lancaster Ave
Paoli, PA 19301-1763
Phone (484) 337-4097

420 S 5TH Ave
Hospitalist Services Tower Health Medical G
West Reading, PA 19611-2143
Phone (484) 628-5455

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT016939PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenixville Clinic Company LLC CurrentSince May 4, 2020 Accepting new patients
Pottstown Clinic Company LLC Family Medicine CurrentSince Jan 10, 2025 Accepting new patients
Tower Health Medical Group Family Medicine Current Accepting new patients
Tower Health Medical Group CurrentSince Jan 10, 2025 Accepting new patients
Phoenixville Clinic Company LLC Family Medicine CurrentSince May 4, 2020 Accepting new patients
Main Line Healthcare Family Medicine CurrentSince Apr 16, 2023 Accepting new patients
Tower Health Medical Group CurrentSince Jan 10, 2025 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

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

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

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

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 7

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": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1447608427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 S 4TH ST",
            "city": "HAMBURG",
            "state": "PA",
            "postal_code": "195261306",
            "telephone_number": "607-759-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N 6TH ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196013096",
            "telephone_number": "610-208-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINERLY",
        "first_name": "KATHLEEN",
        "credential": "D.O.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS019616",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT016939",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.