Individual provider Active NPI

Katherine Goldfeder Evans, MD

  • Dermatology Physician
  • Huntingdon Valley, PA
National Provider Identifier
1710170774
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MT190116 Issued in PA
Practice address
2301 Huntingdon Pike Ste 202
Huntingdon Valley, PA 19006-6130
Phone
(215) 947-7500
NPI assigned
Aug 23, 2007
Last updated
Jun 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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 MT190116 PA Primary
Internal Medicine Physician 207R00000X MT190116 PA

Addresses

Primary practice location

2301 Huntingdon Pike Ste 202
Huntingdon Valley, PA 19006-6130

Mailing address

2301 Huntingdon Pike Ste 202
Huntingdon Valley, PA 19006-6130
Phone (215) 947-7500

Other names 1

  • Katherine Laura Goldfeder Former name

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
I20120807000599 PA Practitioner - Dermatology 7719133719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania Dermatology Group PCGroup PAC ID 9830170877, 8 clinicians

Practice addresses (Care Compare)

2301 Huntingdon Pike
Suite 202
Huntingdon Valley, PA 19006-6130
Phone (215) 947-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.01 of 100Reported as individual
Quality
90.92
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision62
Removal of skin lesions2856
Removal or shaving of skin growth170
Skin biopsy2238

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT190116PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Dermatology Group, P.C. Dermatology CurrentSince Aug 20, 2012 Accepting new patients

Locations

2301 Huntingdon Pike
Ste 202
Huntingdon Vy, PA 19006
Phone (215) 947-7500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1710170774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 HUNTINGDON PIKE STE 202",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066130",
            "telephone_number": "215-947-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HUNTINGDON PIKE STE 202",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066130",
            "telephone_number": "215-947-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KATHERINE",
        "middle_name": "GOLDFEDER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MT190116",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT190116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "GOLDFEDER",
            "middle_name": "LAURA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntingdon Valley, PA

Sources for this page

Verify at the official NPI Registry.