Individual provider Active NPI

Kathleen Elise O'Neill, MD

  • Reproductive Endocrinology Physician
  • Philadelphia, PA
National Provider Identifier
1619123270
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
MD448985 Issued in PA
Practice address
3701 Market St
8TH Floor
Philadelphia, PA 19104-5502
Phone
(215) 662-3378
NPI assigned
Aug 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD448985 PA
Reproductive Endocrinology Physician 207VE0102X MD448985 PA Primary

Addresses

Primary practice location

3701 Market St
8TH Floor
Philadelphia, PA 19104-5502

Mailing address

3701 Market St
8TH Floor
Philadelphia, PA 19104-5502
Phone (215) 662-3378

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
I20170608000028 PA Practitioner - Obstetrics/Gynecology 3375811714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Michigan Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

3400 Spruce St
1 West Gates Helen O. Dickens Center of Wom
Philadelphia, PA 19104-4206
Phone (215) 662-2730

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD448985PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital Current Accepting new patients
University of Penn-Medical Group Obstetrics & Gynecology CurrentSince Jul 1, 2017 Accepting new patients
Lancaster General Hospital CurrentSince Jul 20, 2020 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2017 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Lancaster General Hospital Obstetrics & Gynecology CurrentSince Jul 20, 2020 Accepting new patients
Lancaster General Medical Group Past Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

2112 Harrisburg Pike
Ste 110
Lancaster, PA 17601
Phone (617) 840-4786

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

800 Walnut St
Fl 10
Philadelphia, PA 19107
Phone (215) 829-2345

3400 Spruce St
#1W
Philadelphia, PA 19104
Phone (215) 662-2730

3701 Market St
Fl 8
Philadelphia, PA 19104
Phone (215) 662-6100

3701 Market St
Fl 7
Philadelphia, PA 19104
Phone (215) 349-5200

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

145 King of Prussia Rd
Ste 302
Wayne, PA 19087
Phone (610) 902-2500

145 King of Prussia Rd
Ste 303
Wayne, PA 19087

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

Interoperability endpoints

  • Direct secure messaging: koneilka220461@direct-lghealth.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1619123270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 MARKET ST",
            "address_2": "8TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045502",
            "telephone_number": "215-662-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 MARKET ST",
            "address_2": "8TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045502",
            "telephone_number": "215-662-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "KATHLEEN",
        "middle_name": "ELISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD448985",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "PA",
            "license": "MD448985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.