Individual provider Active NPI

Steven E. McKenzie, M.D.

  • Medical Oncology Physician
  • Philadelphia, PA
National Provider Identifier
1568476729
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
MD036838E Issued in PA
Practice address
1015 Chestnut Street
Suite 1321
Philadelphia, PA 19107-4310
Phone
(215) 955-4730
Fax
(215) 503-9188
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD036838E PA
Medical Oncology Physician 207RX0202X MD036838E PA Primary
Pediatric Hematology & Oncology Physician 2080P0207X MD036838E PA

Addresses

Primary practice location

1015 Chestnut Street
Suite 1321
Philadelphia, PA 19107-4310

Mailing address

1015 Chestnut Street
Suite 1321
Philadelphia, PA 19107-4310
Phone (215) 955-4730

Other identifiers 2

IdentifierTypeStateIssuer
001252245MedicaidPA
2170108MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050209000846 PA Practitioner - Pediatric MedicinePractitioner - Hematology 0244281954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Hematology
Education
Perelman School of Med at the University of Pennsylvania, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1015 Chestnut St
Suite 1321
Philadelphia, PA 19107-4313

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians Internal Medicine CurrentSince Sep 1, 1996 Accepting new patients
Jefferson University Physicians Internal Medicine CurrentSince Sep 1, 1996 Accepting new patients

Locations

1015 Chestnut St
Ste 1321
Philadelphia, PA 19107
Phone (215) 923-5676

111 S 11th St
Ste G4240
Philadelphia, PA 19107
Phone (215) 955-6590

833 Chestnut St
Frnt 3
Philadelphia, PA 19107
Phone (215) 955-5800

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1568476729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 CHESTNUT STREET",
            "address_2": "SUITE 1321",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074310",
            "telephone_number": "215-955-4730",
            "fax_number": "215-503-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 CHESTNUT STREET",
            "address_2": "SUITE 1321",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074310",
            "telephone_number": "215-955-4730",
            "fax_number": "215-503-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "STEVEN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD036838E",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "PA",
            "license": "MD036838E",
            "primary": true
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "PA",
            "license": "MD036838E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001252245",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2170108",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.