Individual provider Active NPI

Donald Paul Kineston, M.D.

  • Dermatology Physician
  • Meadville, PA
National Provider Identifier
1619933256
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD451079 Issued in PA
Practice address
149 N Main St
Meadville, PA 16335-1112
Phone
(814) 333-3939
Fax
(814) 333-8819
NPI assigned
Apr 22, 2006
Last updated
Apr 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD451079 PA Primary
General Practice Physician 208D00000X 0101235102 VA

Addresses

Primary practice location

149 N Main St
Meadville, PA 16335-1112

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 333-3939

Other practice location 1

640 Alden St
Meadville, PA 16335-2348
Phone (814) 373-5255

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
I20140821001106 PA Practitioner - Dermatology 1658599360 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadville Medical CenterGroup PAC ID 4284535790, 139 clinicians
Titusville Area HospitalGroup PAC ID 8022907575, shared by 16 NPIs, 77 clinicians

Practice addresses (Care Compare)

149 N Main St
Dermatology and Skin Surg Inst
Meadville, PA 16335-1112
Phone (814) 333-3939

640 Alden St
Meadville, PA 16335-2348
Phone (814) 373-5255

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions333
Skin biopsy85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD451079PAMDDermatology Physician
0101235102VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meadville Medical Center Dermatology CurrentSince Aug 1, 2014 Accepting new patients
Titusville Area Hospital CurrentSince Jun 1, 2019 Accepting new patients
Titusville Area Hospital CurrentSince Nov 1, 2025 Accepting new patients
Titusville Area Hospital CurrentSince Jun 1, 2019 Accepting new patients
Titusville Area Hospital Current Accepting new patients
Meadville Medical Center Past Accepting new patients

Locations

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

149 N Main St
Meadville, PA 16335
Phone (814) 333-3939

640 Alden St
Meadville, PA 16335
Phone (814) 373-5255

406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851

Interoperability endpoints

  • Direct secure messaging: donald.p.kineston@directaddress.net

Organizations & group practices 6

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 1

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": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1619933256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-333-3939",
            "fax_number": "814-333-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 N MAIN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163351112",
            "telephone_number": "814-333-3939",
            "fax_number": "814-333-8819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Alden St",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163352348",
            "country_code": "US",
            "telephone_number": "814-373-5255",
            "fax_number": "814-373-5259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINESTON",
        "first_name": "DONALD",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD451079",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101235102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.