Individual provider Active NPI

Kenneth L. Zeitzer, M.D.

  • Radiation Oncology Physician
  • Philadelphia, PA
National Provider Identifier
1801980230
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD048234L Issued in PA
Practice address
5501 Old York Road
Levy GRD FL
Philadelphia, PA 19141
Phone
(215) 456-6280
Fax
(215) 457-0270
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD048234L PA Primary

Addresses

Primary practice location

5501 Old York Road
Levy GRD FL
Philadelphia, PA 19141

Mailing address

PO Box 8500-8735
Philadelphia, PA 19178-8735
Phone (215) 456-7000

Other identifiers 1

IdentifierTypeStateIssuer
1411412MedicaidPA

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
I20040814000052 PA Practitioner - Radiation Oncology 3072586486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

5501 Old York Rd
Phila, PA 19141-3018
Phone (215) 456-6280

Hospital & facility affiliations

  • Jefferson Einstein Montgomery Hospital Hospital, East Norriton, PA, CCN 390329
  • Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142
  • Jefferson Lansdale Hospital Hospital, Lansdale, PA, CCN 390012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD048234LPAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc Current Accepting new patients
Einstein Practice Plan Inc CurrentSince Jul 6, 1993 Accepting new patients
Einstein Practice Plan Inc Radiation Oncology CurrentSince Jul 6, 1993 Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients

Locations

609 W Germantown Pike
Ste 160
East Norriton, PA 19403
Phone (484) 622-7400

609 W Germantown Pike
Norristown, PA 19403
Phone (484) 622-7100

5501 York Rd
Ste 202
Philadelphia, PA 19141
Phone (215) 254-2630

9880 Bustleton Ave
Ste 220
Philadelphia, PA 19115
Phone (215) 456-7900

9908 Roosevelt Blvd
Philadelphia, PA 19115
Phone (215) 464-3300

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

Interoperability endpoints

  • Direct secure messaging: kenneth.zeitzer@direct.einstein.edu

Organizations & group practices 4

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 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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1801980230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500-8735",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191788735",
            "telephone_number": "215-456-7000",
            "fax_number": "215-254-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK ROAD",
            "address_2": "LEVY GRD FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19141",
            "telephone_number": "215-456-6280",
            "fax_number": "215-457-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEITZER",
        "first_name": "KENNETH",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD048234L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1411412",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.