NPIMap

Individual provider Active NPI

Susan H Kennedy, MD

  • Family Medicine Physician
  • Lansdale, PA
National Provider Identifier
1962409227
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD421463 Issued in PA
Practice address
826 N Broad St
Lansdale, PA 19446
Phone
(215) 855-1054
Fax
(215) 855-3786
NPI assigned
Jul 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD421463 PA Primary

Addresses

Primary practice location

826 N Broad St
Lansdale, PA 19446

Mailing address

826 N Broad St
Lansdale, PA 19446-2321
Phone (215) 855-1054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100503000477 PA Practitioner - Family Practice 5193853745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Green and Seidner Family Practice Associates PCGroup PAC ID 8123001872, 11 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

826 N Broad St
Lansdale, PA 19446-2321
Phone (215) 855-1054

Hospital & facility affiliations

  • Jefferson Health at Home by Bayada Home health agency, Horsham, PA, CCN 397145
  • Bayada Home Health Care, Inc. Home health agency, Jamison, PA, CCN 397791
  • Bayada Home Health Care, Inc. Home health agency, Blue Bell, PA, CCN 398276
  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057
  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203
  • Jefferson Lansdale Hospital Hospital, Lansdale, PA, CCN 390012
  • St Luke'S Hospital - Upper Bucks Campus Hospital, Quakertown, PA, CCN 390035
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Green and Seidner Family Practice Associates PC Family Medicine CurrentSince Sep 1, 2003 Accepting new patients
Lansdale Hospital Corporation PastSince Sep 1, 2003 Accepting new patients

Locations

826 N Broad St
Lansdale, PA 19446
Phone (215) 855-1054

Organizations & group practices 2

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1962409227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 N BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194462321",
            "telephone_number": "215-855-1054",
            "fax_number": "215-855-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 N BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "19446",
            "telephone_number": "215-855-1054",
            "fax_number": "215-855-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "SUSAN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD421463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

Verify at the official NPI Registry.