Active NPI
Kenneth Hoellein, MD
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1720047277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD022822E
- Practice address
- 101 E Olney Ave
C5
Philadelphia, PA 19120-2421 - Phone
- (215) 927-1937
- Fax
- (215) 927-7939
- NPI assigned
- Mar 22, 2006
- Last updated
- Apr 5, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD022822E | PA | Primary |
Addresses
Primary practice location
101 E Olney Ave
C5
Philadelphia, PA 19120-2421
Mailing address
101 E Olney Ave
Ste C5
Philadelphia, PA 19120-2470
Phone (215) 456-1825
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00685271 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD022822E | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- kenneth.hoellein@direct.einstein.edu
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1720047277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E OLNEY AVE",
"address_2": "STE C5",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191202470",
"telephone_number": "215-456-1825",
"fax_number": "215-456-5926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E OLNEY AVE",
"address_2": "C5",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191202421",
"telephone_number": "215-927-1937",
"fax_number": "215-927-7939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOELLEIN",
"first_name": "KENNETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD022822E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00685271",
"state": "PA"
}
],
"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 Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.