NPIMap

Individual provider Active NPI

Kevin M Terefenko, M.D.

  • Orthopaedic Surgery Physician
  • Wyomissing, PA
National Provider Identifier
1609874148
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD073496L Issued in PA
Practice address
2758 Century Blvd
Suite 2
Wyomissing, PA 19610-3358
Phone
(610) 376-5646
Fax
(610) 376-8546
NPI assigned
Jul 8, 2005
Last updated
Apr 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD073496L PA Primary

Addresses

Primary practice location

2758 Century Blvd
Suite 2
Wyomissing, PA 19610-3358

Mailing address

2758 Century Blvd
Suite 2
Wyomissing, PA 19610-3358
Phone (610) 376-5646

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
I20050114000220 PA Practitioner - Orthopedic Surgery 2466401674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

2758 Century Blvd
Suite 2
Wyomissing, PA 19610-3358
Phone (610) 376-5646

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD073496LPAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Orthopaedic Specialists LLC Orthopaedic Surgery CurrentSince Jan 1, 2010 Accepting new patients
Keystone Orthopaedic Specialists LLC Orthopaedic Surgery CurrentSince Jan 1, 2010 Accepting new patients
Joints in Motion Past Accepting new patients

Locations

11 Fairlane Rd
Reading, PA 19606
Phone (610) 378-8810

4920 Penn Ave
Sinking Spring, PA 19608
Phone (610) 898-0674

2201 Ridgewood Rd
Ste 200
Wyomissing, PA 19610
Phone (610) 373-9631

2758 Century Blvd
Ste 2
Wyomissing, PA 19610
Phone (610) 376-5646

Interoperability endpoints

  • Direct secure messaging: kevin.terefenko.1@2277.direct.athenahealth.com

Organizations & group practices 4

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 10

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1609874148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2758 CENTURY BLVD",
            "address_2": "SUITE 2",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103358",
            "telephone_number": "610-376-5646",
            "fax_number": "610-376-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2758 CENTURY BLVD",
            "address_2": "SUITE 2",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103358",
            "telephone_number": "610-376-5646",
            "fax_number": "610-376-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEREFENKO",
        "first_name": "KEVIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD073496L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.