Individual provider Active NPI

Craig D Kesack, M.D.

  • Diagnostic Radiology Physician
  • Doylestown, PA
National Provider Identifier
1558355065
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD046425L Issued in PA
Practice address
595 W State St
Doylestown, PA 18901-2554
Phone
(215) 345-2290
Fax
(215) 345-2596
NPI assigned
Sep 12, 2005
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD046425L PA Primary

Addresses

Primary practice location

595 W State St
Doylestown, PA 18901-2554

Mailing address

PO Box 830624
Philadelphia, PA 19182-0624
Phone (800) 666-1816

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
I20040720000480 PA Practitioner - Diagnostic Radiology 9638158868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Pennsylvania State University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parlee and Tatem Radiologic Associates LTDGroup PAC ID 4587555099, 15 clinicians

Practice addresses (Care Compare)

595 W State St
Doylestown, PA 18901-2554
Phone (215) 345-2290

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.75 of 100Reported as group
Quality
51.5
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD046425LPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parlee & Tatem Radiologic Associates, LTD. Diagnostic Radiology CurrentSince Dec 4, 1978 Accepting new patients

Locations

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

800 W State St
Ste 203
Doylestown, PA 18901
Phone (215) 345-4568

847 Easton Rd
Warrington, PA 18976
Phone (215) 345-0105

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1558355065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830624",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191820624",
            "telephone_number": "800-666-1816",
            "fax_number": "706-653-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W STATE ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012554",
            "telephone_number": "215-345-2290",
            "fax_number": "215-345-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESACK",
        "first_name": "CRAIG",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD046425L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.