NPIMap

Individual provider Active NPI

Cara L Kitaeff, PA-C

  • Physician Assistant
  • Media, PA
National Provider Identifier
1649536905
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA057710 Issued in PA
Practice address
605 W State St
Media, PA 19063-2620
Phone
(610) 565-8600
NPI assigned
Apr 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA057710 PA Primary

Addresses

Primary practice location

605 W State St
Media, PA 19063-2620

Mailing address

605 W State St
Media, PA 19063-2620
Phone (610) 565-8600

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
I20151102000131 PA Practitioner - Physician Assistant 8820234859 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

605 W State St
Internal Meds Media
Media, PA 19063-2620
Phone (610) 535-8600

777 Township Line Rd
Suite 200
Yardley, PA 19067-5564
Phone (215) 860-0775

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Feb 26, 2018 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince Nov 9, 2015 Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince Oct 10, 2015 Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince Oct 10, 2015 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Nov 9, 2015 Accepting new patients
University of Penn - Medical Group CurrentSince Mar 31, 2020 Accepting new patients
University of Penn-Medical Group CurrentSince Mar 31, 2020 Accepting new patients
Newton Wellesley Ambulatory Services Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

605 W State St
Media, PA 19063
Phone (610) 565-8600

1840 South St
Philadelphia, PA 19146
Phone (215) 421-7889

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 12

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.

Hospital & facility affiliations 8

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": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1649536905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W STATE ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632620",
            "telephone_number": "610-565-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W STATE ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632620",
            "telephone_number": "610-565-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITAEFF",
        "first_name": "CARA",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.