Individual provider Active NPI

Kristin Michelle Noonan, M.D.

  • Surgery Physician
  • Elkins Park, PA
National Provider Identifier
1770560419
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD428258 Issued in PA
Practice address
60 Township Line Rd
Elkins Park, PA 19027-2220
Phone
(215) 663-6422
Fax
(215) 663-6443
NPI assigned
Dec 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD428258 PA Primary

Addresses

Primary practice location

60 Township Line Rd
Elkins Park, PA 19027-2220

Mailing address

60 Township Line Rd
Elkins Park, PA 19027-2220
Phone (215) 663-6422

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
I20110823000703 PA Practitioner - General Surgery 0042218851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, shared by 44 NPIs, 442 clinicians

Practice addresses (Care Compare)

225 Newtown Rd FL
2 Amh Institute for Metabolic and Bariatric
Warminster, PA 18974-5221
Phone (215) 441-6800

Hospital & facility affiliations

  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD428258PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital Surgery CurrentSince Aug 1, 2011 Accepting new patients
Abington Memorial Hospital Surgery CurrentSince Sep 4, 2013 Accepting new patients
Abington Memorial Hospital CurrentSince Aug 1, 2011 Accepting new patients
Jordan Physician Associates, Inc. Past Accepting new patients
Abington Memorial Hospital Past Accepting new patients
Jordan Physician Associates, Inc. Surgery Past Accepting new patients
Womencare OB GYN, P.C. Past Accepting new patients

Locations

1245 Highland Ave
Ste 401
Abington, PA 19001
Phone (215) 481-6070

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1235 Old York Rd
Ste G121
Abington, PA 19001
Phone (215) 517-1200

1200 Old York Rd
Fl Toll
Abington, PA 19001
Phone (215) 481-6784

125 Medical Campus Dr
Lansdale, PA 19446
Phone (215) 361-4404

225 Newtown Rd
Fl 2
Warminster, PA 18974
Phone (215) 441-6800

2500 Maryland Rd
Ste 400
Willow Grove, PA 19090
Phone (215) 481-3915

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.

Hospital & facility affiliations 1

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": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1770560419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 TOWNSHIP LINE RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272220",
            "telephone_number": "215-663-6422",
            "fax_number": "215-663-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 TOWNSHIP LINE RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272220",
            "telephone_number": "215-663-6422",
            "fax_number": "215-663-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONAN",
        "first_name": "KRISTIN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD428258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

Verify at the official NPI Registry.