Individual provider Active NPI

Kelly L. Krespan, M.D.

  • Ophthalmology Physician
  • Havertown, PA
National Provider Identifier
1982014858
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
466893 Issued in PA
Practice address
2010 W Chester Pike Ste 310
Havertown, PA 19083-2737
Phone
(610) 446-2260
Fax
(610) 446-3360
NPI assigned
May 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 466893 PA Primary

Addresses

Primary practice location

2010 W Chester Pike Ste 310
Havertown, PA 19083-2737

Mailing address

2010 W Chester Pike Ste 310
Havertown, PA 19083-2737
Phone (610) 446-2260

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
I20190715002961 PA Practitioner - Ophthalmology 0749536639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard L Jahnle MD PCGroup PAC ID 0244492882, 6 clinicians

Practice addresses (Care Compare)

2010 W Chester Pike
Wellness Center Suite 310
Havertown, PA 19083-2737
Phone (610) 446-2260

Hospital & facility affiliations

  • Riddle Memorial Hospital Hospital, Media, PA, CCN 390222

Merit-based Incentive Payment System (MIPS)

Final score
99.48 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
98.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery664

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
466893PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard L Jahnle MD PC Ophthalmology CurrentSince Aug 1, 2019 Accepting new patients
Domenick Braccia D.O. PastSince Aug 1, 2019 Accepting new patients

Locations

2010 W Chester Pike
Havertown, PA 19083
Phone (610) 446-2260

2010 W Chester Pike
Ste 310
Havertown, PA 19083
Phone (610) 446-2260

1098 W Baltimore Pike
Ste 3407
Media, PA 19063
Phone (610) 566-7096

Interoperability endpoints

  • Direct secure messaging: kkrespan@jahnleeye.emadirect.md

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 1

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": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1982014858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 W CHESTER PIKE STE 310",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832737",
            "telephone_number": "610-446-2260",
            "fax_number": "610-446-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W CHESTER PIKE STE 310",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832737",
            "telephone_number": "610-446-2260",
            "fax_number": "610-446-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRESPAN",
        "first_name": "KELLY",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-01",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "466893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.