Individual provider Active NPI

Joseph S Kenney III, D.O.

  • Cardiovascular Disease Physician
  • Bala Cynwyd, PA
National Provider Identifier
1750387544
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS006801E Issued in PA
Practice address
1 Bala Ave Ste 300
Bala Cynwyd, PA 19004-3207
Phone
(610) 660-9910
Fax
(610) 660-9920
NPI assigned
Jun 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OS006801E PA Primary

Addresses

Primary practice location

1 Bala Ave Ste 300
Bala Cynwyd, PA 19004-3207

Mailing address

1 Bala Ave Ste 300
Bala Cynwyd, PA 19004-3207
Phone (610) 660-9910

Other identifiers 1

IdentifierTypeStateIssuer
0011719890003MedicaidPA

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
I20080417000602 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6204914146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Bala Ave
Suite 305
Bala Cynwyd, PA 19004-3207
Phone (610) 660-9910

2135 E Chelten Ave
Philadelphia, PA 19138-2534
Phone (215) 424-5365

301 City Ave
Suite 100
Bala Cynwyd, PA 19004-3207

4700 Wissahickon Ave
Suite 119
Phila, PA 19144-4248
Phone (215) 843-9720

5008 Baltimore Ave
Phila, PA 19143-4271
Phone (215) 724-5899

6120 Woodland Ave
Phila, PA 19142-3200
Phone (215) 727-4721

850 N 11TH St
Phila, PA 19123-1957
Phone (215) 769-1100

One Bala Ave
Suite 300
Bala Cynwyd, PA 19004-3207

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
College Cardiology Associates, LTD Cardiovascular Disease CurrentSince Apr 10, 2008 Accepting new patients

Locations

1 Bala Ave
Ste 300
Bala Cynwyd, PA 19004
Phone (215) 276-8788

1 Bala Ave
Ste 305
Bala Cynwyd, PA 19004
Phone (610) 660-9910

4190 City Ave
Ste 514
Philadelphia, PA 19131
Phone (215) 871-2660

5008 Baltimore Ave
Philadelphia, PA 19143
Phone (215) 724-5899

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": "1119744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1750387544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BALA AVE STE 300",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043207",
            "telephone_number": "610-660-9910",
            "fax_number": "610-660-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BALA AVE STE 300",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043207",
            "telephone_number": "610-660-9910",
            "fax_number": "610-660-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "JOSEPH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-26",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS006801E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011719890003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.