Kateryna Kiselova, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS018475 Issued in PA

Practice address

1690 Big Oak Rd
Yardley, PA 19067-6421

Phone

(215) 736-9362

NPI assigned

May 14, 2014

Last updated

May 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA, NJ, SC3 enrollments

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 3

Specialty

Allergy/Immunology

Education

Philadelphia College of Osteopathic Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Family Care IncGroup PAC ID 4587557731, 81 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Musc Medical Center Hospital, Charleston, SC, CCN 420004
• Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044
• Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
• Direct secure messaging: kateryna.kiselova.1@12833.direct.athenahealth.com
• Direct secure messaging: kkiselova544270@direct.musc.edu

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.

• Carolina Family Care, Inc

  dba MUSC Physicians PCP

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1184655722
  Medicare reassignment Care Compare group NPD
• Capital Health Medical Group

  • Internal Medicine Physician
  • Trenton, NJ
  • NPI 1437516887

  Family Medicine, PA

  Medicare reassignment NPD
• Carolina Family Care, Inc

  dba MUSC Physicians PCP Daniel Island

  • Family Medicine Physician
  • Daniel Island, SC
  • NPI 1497925002
  NPD
• Hamilton Physicians Group, PC

  • Family Medicine Physician
  • Mercerville, NJ
  • NPI 1417904087
  NPD
• Carolina Family Care, Inc

  dba MUSC Physicians PCP

  • Pediatrics Physician
  • Charleston, SC
  • NPI 1750318101
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital of the University of PA

  • Ambulatory Fertility Facility
  • Phila, PA
  • NPI 1033262316

  Hospital

  Care Compare affiliation
• Trustees of the University of Pennsylvania

  dba Hospital of the University of Pennsylvania

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1851370910
  Care Compare affiliation
• Capital Health System, Inc.

  dba Capital Health Medical Center - Hopewell

  • General Acute Care Hospital
  • Pennington, NJ
  • NPI 1073516183
  Care Compare affiliation
• Medical University Hospital Authority

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1073605879
  Care Compare affiliation
• Medical University Hospital Authority

  dba MUSC Health- Rehabiliation - orangeburg - part of musc medical center

  • Rehabilitation Hospital
  • Orangeburg, SC
  • NPI 1154020147
  Care Compare affiliation
• Medical University Hospital Authority

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1659435840
  Care Compare affiliation
• Medical University Hospital Authority

  dba MUSC Health - Psychiatry - Orangeburg - part of MUSC Medical Center Ch

  • Psychiatric Hospital
  • Orangeburg, SC
  • NPI 1669171740
  Care Compare affiliation
• Medical University Hospital Authority

  dba MUSC Health - Orangeburg, part of the MUSC Medical Center - Charleston

  • General Acute Care Hospital
  • Orangeburg, SC
  • NPI 1710683354
  Care Compare affiliation
• Medical University Hospital Authority

  dba MUSC Health - Orangeburg, part of MUSC Medical Center - CHarleston

  • General Acute Care Hospital
  • Orangeburg, SC
  • NPI 1770280299
  Care Compare affiliation

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1639580509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 WHITEHORSE MERCERVILLE ROAD",
            "address_2": "SUITE 103",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193834",
            "telephone_number": "609-587-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 BIG OAK RD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190676421",
            "telephone_number": "215-736-9362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 York Rd",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Jenkintown",
            "state": "PA",
            "postal_code": "19046",
            "country_code": "US",
            "telephone_number": "215-481-2725",
            "fax_number": "215-481-3013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 York Rd",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Jenkintown",
            "state": "PA",
            "postal_code": "19046",
            "country_code": "US",
            "telephone_number": "215-481-2725",
            "fax_number": "215-481-3013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 Middletown Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471817",
            "country_code": "US",
            "telephone_number": "215-736-9362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISELOVA",
        "first_name": "KATERYNA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB10696300",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS018475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kateryna.kiselova.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1690 Big Oak Rd",
            "city": "Yardley",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190676421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Medicine Physician in Yardley, PA
• Providers in Yardley, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.