Individual provider Active NPI

Kristen Elizabeth McClure, M.D.

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1841499738
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD437314 Issued in PA
Practice address
111 S. 11TH Street
Suite 3390
Philadelphia, PA 19107-4824
Phone
(215) 955-6226
Fax
(215) 923-1562
NPI assigned
Jul 12, 2007
Last updated
Sep 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MT183930 PA
Diagnostic Radiology Physician 2085R0202X MD437314 PA Primary

Addresses

Primary practice location

111 S. 11TH Street
Suite 3390
Philadelphia, PA 19107-4824

Mailing address

111 S. 11TH Street
Suite 3390
Philadelphia, PA 19107-4824
Phone (215) 955-6226

Other identifiers 2

IdentifierTypeStateIssuer
102472442MedicaidPA
0247162MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100910000100 PA Practitioner - Diagnostic Radiology 5597880831 Reassigns benefits to 6 organizations
I20200921000849 NJ Practitioner - Diagnostic Radiology 5597880831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Boston University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson University Radiology Associates LLCGroup PAC ID 7315845708, shared by 3 NPIs, 110 clinicians
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians
Rittenhouse Imaging Center, LLCGroup PAC ID 5193624583, 39 clinicians
Jeanes Radiology Associates LLCGroup PAC ID 1850290248, 43 clinicians
Jefferson University Physicians of New Jersey PCGroup PAC ID 9931325131, 117 clinicians
800 Imaging Associates LLCGroup PAC ID 3173530029, 20 clinicians

Practice addresses (Care Compare)

1 W Germantown Pike
East Norriton, PA 19401-1513
Phone (610) 277-3202

10160 Bustleton Ave E
Jefferson Outpatient Imaging
Philadelphia, PA 19116-3749
Phone (215) 503-4900

111 S 11TH St
3Rd FLR Suite 3390
Philadelphia, PA 19107-5098
Phone (800) 858-1662

150 E Pennsylvania Ave
Mdi Dowingtown
Downingtown, PA 19335-2632
Phone (610) 518-6300

1619 Grant Ave
Philadelphia, PA 19115-3167
Phone (215) 676-3300

2211 Chapel Ave W
Suite 403
Cherry Hill, NJ 08002-2048
Phone (856) 922-5030

3 Crescent Dr
Suite 1002
Philadelphia, PA 19112-1016
Phone (215) 503-4900

400 Enterprise Dr
102 Mdi Limerick
Limerik, PA 19468-1215
Phone (215) 649-0250

435 Hurffville Cross Keys Rd
Turnersville, NJ 08012-2453
Phone (856) 582-2500

443 Laurel Oak Rd
Voorhees, NJ 08043-4419

534 2ND Ave
Suite 102
Collegeville, PA 19426-2654
Phone (610) 831-0500

650 Carnegie Blvd
Suite 240
Malvern, PA 19355-8519
Phone (215) 503-4900

800 W State St
Suite 203
Doylestown, PA 18901-5842
Phone (215) 345-4568

8305 Ridge Ave
Philadelphia, PA 19128-2113
Phone (215) 482-4800

850 Walnut St
Philadelphia, PA 19107-5109

999 Route 73 N 101
Jefferson Outpatient Imaging
Marlton, NJ 08053-1227
Phone (856) 424-2929

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT183930PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Radiology Associates, LLC Diagnostic Radiology CurrentSince Aug 13, 2011 Accepting new patients
Jefferson University Physicians of New Jersey, P.C. CurrentSince Jun 17, 2020 Accepting new patients
Jefferson University Physicians Diagnostic Radiology CurrentSince Jul 1, 2010 Accepting new patients
Lebanon Diagnostic Imaging, LLC Diagnostic Radiology CurrentSince May 17, 2017 Accepting new patients
Jefferson University Radiology Associates LLC Diagnostic Radiology CurrentSince Aug 13, 2011 Accepting new patients
Jeanes Radiology Associates LLC Diagnostic Radiology CurrentSince May 17, 2017 Accepting new patients
800 Imaging Associates LLC CurrentSince Aug 10, 2013 Accepting new patients
Rittenhouse Imaging Center, LLC Diagnostic Radiology CurrentSince May 17, 2017 Accepting new patients
Jefferson University Radiology Associates, LLC Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Insight Health Corp PastSince May 17, 2017 Accepting new patients

Locations

2201 Chapel Ave W
Cherry Hill, NJ 08002
Phone (856) 488-6500

999 Route 73 N
Ste 101
Marlton, NJ 08053
Phone (856) 424-2929

243 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (609) 680-9263

443 Laurel Oak Rd
Ste 130
Voorhees, NJ 08043
Phone (856) 741-0122

462 Gateway Ave
Chambersburg, PA 17201
Phone (717) 263-4999

150 E Pennsylvania Ave
Downingtown, PA 19335
Phone (215) 772-9674

800 W State St
Ste 203
Doylestown, PA 18901
Phone (215) 345-4568

111 S 11th St
Philadelphia, PA 19107
Phone (215) 955-6161

111 S 11th St
#3390
Philadelphia, PA 19107
Phone (215) 955-2900

111 S 11th St
Ste 3390
Philadelphia, PA 19107
Phone (215) 955-2900

850 Walnut St
Philadelphia, PA 19107
Phone (215) 503-4900

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

111 S 11th St
Fl 3
William Penn Annex West, PA 19107
Phone (215) 955-4804

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1841499738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S. 11TH STREET",
            "address_2": "SUITE 3390",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-6226",
            "fax_number": "215-923-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S. 11TH STREET",
            "address_2": "SUITE 3390",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-6226",
            "fax_number": "215-923-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "KRISTEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT183930",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD437314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102472442",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0247162",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.