Individual provider Active NPI

Kathleen McGuinn

  • Dermatology Physician
  • Philadelphia, PA
National Provider Identifier
1659768497
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD467053 Issued in PA
Practice address
833 Chestnut St
Suite 740
Philadelphia, PA 19107-4414
Phone
(215) 955-4947
Fax
(215) 503-3333
NPI assigned
Apr 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X MD467053 PA Primary
Dermatology Physician 207N00000X MT209277 PA

Addresses

Primary practice location

833 Chestnut St
Suite 740
Philadelphia, PA 19107-4414

Mailing address

531 W Germantown Pike
Ste 200
Plymouth Meeting, PA 19462-1325
Phone (610) 828-0400

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
I20190807003886 PA Practitioner - Dermatology 6305134990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Jefferson Medical College of Thomas Jefferson University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of Plymouth Meeting, P.C.Group PAC ID 6507841970, 11 clinicians

Practice addresses (Care Compare)

531 W Germantown Pike
Suite 200
Plymouth Meeting, PA 19462-1325
Phone (610) 828-0400

Merit-based Incentive Payment System (MIPS)

Final score
94.02 of 100Reported as group
Quality
93.73
Promoting interoperability
100
Improvement activities
40
Cost
86.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision59
Removal of skin lesions1341
Removal or shaving of skin growth110
Skin biopsy378

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD467053PAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Plymouth Meeting, PC Single Specialty CurrentSince Aug 20, 2019 Accepting new patients

Locations

531 W Germantown Pike
#200201
Plymouth Meeting, PA 19462
Phone (610) 828-0400

531 W Germantown Pike
Plymouth Mtng, PA 19462
Phone (610) 828-0400

531 W Germantown Pike
Ste 200
Plymouth Mtng, PA 19462
Phone (610) 828-0400

Interoperability endpoints

  • Direct secure messaging: kmcguinn@daopm.emadirect.md

Organizations & group practices 1

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": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1659768497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 W GERMANTOWN PIKE",
            "address_2": "STE 200",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621325",
            "telephone_number": "610-828-0400",
            "fax_number": "610-828-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST",
            "address_2": "SUITE 740",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074414",
            "telephone_number": "215-955-4947",
            "fax_number": "215-503-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUINN",
        "first_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD467053",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MT209277",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.