Active NPI
Kelley Vandergrift, D.O.
- Family Medicine Physician
- Newtown, PA
National Provider Identifier
1912386426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS018322
- Practice address
- 3 Penns TRL
Newtown, PA 18940-1812 - Phone
- (215) 504-1761
- Fax
- (215) 504-1721
- NPI assigned
- May 29, 2015
- Last updated
- Mar 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS018322 | PA | Primary |
Addresses
Primary practice location
3 Penns TRL
Newtown, PA 18940-1812
Mailing address
3 Penns TRL
Newtown, PA 18940-1812
Phone (215) 504-1761
Other practice location 1
680 Middletown Blvd Ste 201
Langhorne, PA 19047-1817
Phone (215) 504-1761
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients |
Locations
600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
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, 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": "1432857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551830400000",
"number": "1912386426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 PENNS TRL",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189401812",
"telephone_number": "215-504-1761",
"fax_number": "215-504-1721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 PENNS TRL",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189401812",
"telephone_number": "215-504-1761",
"fax_number": "215-504-1721"
}
],
"practiceLocations": [
{
"address_1": "680 Middletown Blvd Ste 201",
"address_purpose": "LOCATION",
"city": "Langhorne",
"state": "PA",
"postal_code": "190471817",
"country_code": "US",
"telephone_number": "215-504-1761",
"fax_number": "215-504-1721",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDERGRIFT",
"first_name": "KELLEY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-29",
"last_updated": "2019-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS018322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.