Individual provider Active NPI

Kerby Zeisloft, DO

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1992326789
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OS023147 Issued in PA
Practice address
2000 Hamilton St Ste 301
Philadelphia, PA 19130-3874
Phone
(215) 774-1166
NPI assigned
May 3, 2020
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X OT020432 PA
Pediatrics Physician 208000000X OS023147 PA Primary

Addresses

Primary practice location

2000 Hamilton St Ste 301
Philadelphia, PA 19130-3874

Mailing address

2000 Hamilton St Ste 301
Philadelphia, PA 19130-3874
Phone (215) 774-1166

Other practice location 1

190 W Germantown Pike Ste 150
East Norriton, PA 19401-1391
Phone (215) 774-1166

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
I20230912002105 PA Practitioner - Pediatric Medicine 4183088933 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS023147PAMDPediatrics Physician
OT020432PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC Pediatrics CurrentSince Oct 23, 2023 Accepting new patients
Advocare , LLC CurrentSince Oct 23, 2023 Accepting new patients
Advocare , LLC PastSince Dec 28, 2022 Accepting new patients
Advocare, LLC Pediatrics Past Accepting new patients

Locations

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

1100 Horizon Cir
Ste 101
Chalfont, PA 18914
Phone (215) 394-0400

2000 Hamilton St
Ste 109
Philadelphia, PA 19130
Phone (215) 774-1166

Interoperability endpoints

  • Direct secure messaging: kerby.zeisloft@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 4

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": "1588464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1992326789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HAMILTON ST STE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303874",
            "telephone_number": "215-774-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HAMILTON ST STE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303874",
            "telephone_number": "215-774-1166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 W Germantown Pike Ste 150",
            "address_purpose": "LOCATION",
            "city": "East Norriton",
            "state": "PA",
            "postal_code": "194011391",
            "country_code": "US",
            "telephone_number": "215-774-1166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEISLOFT",
        "first_name": "KERBY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-03",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OT020432",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS023147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.