Active NPI
Kelli Braightmeyer, M.D.
- Obstetrics & Gynecology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD465197
- Practice address
- 245 N 15TH St # Ms 495
Philadelphia, PA 19102-1101 - Phone
- (215) 762-8220
- Fax
- (215) 762-1470
- NPI assigned
- May 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD465197 | PA | Primary |
Addresses
Primary practice location
245 N 15TH St # Ms 495
Philadelphia, PA 19102-1101
Mailing address
245 N 15TH St # Ms 495
Philadelphia, PA 19102-1101
Phone (215) 762-8220
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1040 Reed Ave
Wyomissing, PA 19610-2029
Phone (610) 898-7040
2610 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (484) 750-3950
420 S 5TH Ave
West Reading, PA 19611-2143
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tower Health Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Reading Hospital | Obstetrics & Gynecology | Past | Accepting new patients |
| Tower Health Medical Group | Past | Accepting new patients |
Locations
845 Helen Dr
Lebanon, PA 17042
Phone (717) 273-8835
701 Leon Ave
Palmyra, PA 17078
Phone (717) 256-1820
301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630
2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127
1040 Reed Ave
Wyomissing, PA 19610
Phone (610) 898-7040
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
Interoperability endpoints
- kbraightmeyer@whcl.gwaydirect.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Birdsboro, PA
- NPI 1609291350
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Diagnostic Radiology Physician
- West Reading, PA
- NPI 1700369535
-
- Surgery Physician
- Wyomissing, PA
- NPI 1831954353
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- General Acute Care Hospital
- West Reading, PA
- NPI 1669530069
Obstetrics & Gynecology
-
- Registered Dietetic Technician
- Wyomissing, PA
- NPI 1255636205
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Reading, PA
- NPI 1467007112
-
- General Acute Care Hospital
- West Reading, PA
- NPI 1669530069
-
- General Acute Care Hospital
- Reading, PA
- NPI 1699734665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1699187286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 N 15TH ST # MS 495",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021101",
"telephone_number": "215-762-8220",
"fax_number": "215-762-1470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 N 15TH ST # MS 495",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021101",
"telephone_number": "215-762-8220",
"fax_number": "215-762-1470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAIGHTMEYER",
"first_name": "KELLI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-29",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD465197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.