Individual provider Active NPI

Kathleen Coggshall, M.D.

  • Dermatology Physician
  • Bensalem, PA
National Provider Identifier
1811335573
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD483346 Issued in PA
Practice address
3101 Bristol Rd Ste 4
Bensalem, PA 19020-2168
Phone
(215) 750-0300
NPI assigned
Jun 4, 2013
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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 0101270734 VA
Dermatology Physician 207N00000X MD483346 PA Primary

Addresses

Primary practice location

3101 Bristol Rd Ste 4
Bensalem, PA 19020-2168

Mailing address

3101 Bristol Rd Ste 4
Bensalem, PA 19020-2168
Phone (215) 750-0300

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kcoggshall471596@direct.healthsystem.virginia.edu
Direct Messaging Address kcoggshall471596@direct.healthsystem.virginia.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, PA, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20201123000340 VA Practitioner - Dermatology 0042500142 Reassigns benefits to 1 organization
I20240119003290 PA Practitioner - Dermatology 0042500142 Reassigns benefits to 1 organization
I20251110001322 NJ Practitioner - Dermatology 0042500142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heymann, Manders, Green and Sommer, LLC.Group PAC ID 3476595505, 14 clinicians
Pennsylvania Dermatology Partners IncGroup PAC ID 3274794268, 75 clinicians

Practice addresses (Care Compare)

10000 Sagemore Dr
Suite 10101
Marlton, NJ 08053-3944
Phone (856) 596-0111

3101 Bristol Rd
Suite 4
Bensalem, PA 19020-2168
Phone (215) 253-3875

Merit-based Incentive Payment System (MIPS)

Final score
89.52 of 100Reported as group
Quality
87.67
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.55 of 100Reported as group
Quality
77.91
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions731
Removal or shaving of skin growth1-10
Skin biopsy248

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Dermatology Partners Inc Dermatology CurrentSince Jan 1, 2024 Accepting new patients
University of Virginia Physicians Group CurrentSince Nov 16, 2020 Accepting new patients
Wolfgang a. Huhn, M.D., P.C. Dermatology CurrentSince Dec 31, 2023 Accepting new patients
Heymann, Manders, Green & Sommer, LLC. CurrentSince Nov 1, 2025 Accepting new patients

Locations

10000 Sagemore Dr
Ste 10101
Marlton, NJ 08053
Phone (856) 596-0111

1950 Street Rd
Ste 100
Bensalem, PA 19020
Phone (215) 639-7546

3101 Bristol Rd
Ste 4
Bensalem, PA 19020
Phone (215) 253-3875

258 Ben Franklin Hwy E
Birdsboro, PA 19508
Phone (610) 288-2918

1221 Lee St
Charlottesville, VA 22908
Phone (434) 924-5219

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

Interoperability endpoints

  • Direct secure messaging: kcoggshall@pennderm.emadirect.md

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1811335573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 BRISTOL RD STE 4",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202168",
            "telephone_number": "215-750-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 BRISTOL RD STE 4",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202168",
            "telephone_number": "215-750-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGGSHALL",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101270734",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD483346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcoggshall471596@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "address_1": "1221 Lee St",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229080001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcoggshall471596@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "address_1": "1215 Lee St",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229080816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

Verify at the official NPI Registry.