Individual provider Active NPI

Kent Robert Zettel II, MD

  • Surgery Physician
  • Lemoyne, PA
National Provider Identifier
1952567943
Registry record updated Jan 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD452164 Issued in PA
Practice address
3 Walnut St Ste 100
Lemoyne, PA 17043
Phone
(717) 761-4141
Fax
(717) 761-1456
NPI assigned
Jul 30, 2008
Last updated
Jan 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A139271 CA
Surgery Physician 208600000X MD452164 PA Primary

Addresses

Primary practice location

3 Walnut St Ste 100
Lemoyne, PA 17043

Mailing address

409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612
Phone (717) 761-4141

Other practice location 1

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-0982

Other practice location 2

1600 6th Ave Ste 105
York, PA 17403-2626
Phone (717) 815-2562

Other practice location 3

19 Sprint Dr Ste 3
Carlisle, PA 17015-7002
Phone (717) 713-2100

Other practice location 4

2501 N 3rd St Fl 2
Harrisburg, PA 17110-1904
Phone (717) 782-2100

Other practice location 5

1703 Innovation Dr Ste 3136
York, PA 17408-8815
Phone (717) 741-3449

Other identifiers 3

IdentifierTypeStateIssuer
MT193041OtherPAMEDICAL TRAINING NUMBER
MD452164OtherPAPENNSYLVANIA LICENSE
A139271OtherCACALIFORNIA MEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kzettel60838@phsdirect.pinnaclehealth.org

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
I20180202000125 PA Practitioner - General Surgery 4880967967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Cincinnati College of Medicine and Surgery, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

3 Walnut St
100 Pinnacle Health Surgical Associates
Lemoyne, PA 17043-1168
Phone (717) 761-4141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy18
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)14
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A139271CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Jan 1, 2018 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 1, 2018 Accepting new patients
Pinnacle Health Medical Services Surgery Current Accepting new patients
Upmc Pinnacle Hospitals Past Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

225 Grandview Ave
Ste 303
Camp Hill, PA 17011
Phone (717) 761-4141

19 Sprint Dr
Ste 3
Carlisle, PA 17015
Phone (717) 713-2100

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2808 Old Post Rd
Ste 104
Harrisburg, PA 17110
Phone (717) 545-4786

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

3 Walnut St
Ste 100
Wormleysburg, PA 17043
Phone (717) 737-3037

1600 6th Ave
Ste 105
York, PA 17403
Phone (717) 815-2562

1703 Innovation Dr
Ste 3136
York, PA 17408
Phone (717) 741-3449

Interoperability endpoints

  • Direct secure messaging: kzettel538754@upmc.direct-ci.com
  • Direct secure messaging: kzettel60838@phsdirect.pinnaclehealth.org

Organizations & group practices 5

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 7

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": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611360000000",
    "number": "1952567943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST STE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612",
            "telephone_number": "717-761-4141",
            "fax_number": "717-761-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WALNUT ST STE 100",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "17043",
            "telephone_number": "717-761-4141",
            "fax_number": "717-761-1456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Lothrop St",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15213",
            "country_code": "US",
            "telephone_number": "412-647-0982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 6th Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174032626",
            "country_code": "US",
            "telephone_number": "717-815-2562",
            "fax_number": "717-815-2563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Sprint Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170157002",
            "country_code": "US",
            "telephone_number": "717-713-2100",
            "fax_number": "717-713-2101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 N 3rd St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171101904",
            "country_code": "US",
            "telephone_number": "717-782-2100",
            "fax_number": "717-782-2121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1703 Innovation Dr Ste 3136",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174088815",
            "country_code": "US",
            "telephone_number": "717-741-3449",
            "fax_number": "717-741-5496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZETTEL",
        "first_name": "KENT",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-30",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A139271",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD452164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL TRAINING NUMBER",
            "identifier": "MT193041",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA LICENSE",
            "identifier": "MD452164",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL LICENSE",
            "identifier": "A139271",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kzettel60838@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "3 Walnut St Ste 100",
            "city": "Lemoyne",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lemoyne, PA

Sources for this page

Verify at the official NPI Registry.