NPIMap

Individual provider Active NPI

Kristin Templin, M.D.

  • Internal Medicine Physician
  • Meadville, PA
National Provider Identifier
1992737332
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD72890L Issued in PA
Practice address
765 Liberty St Ste 307
Meadville, PA 16335-2569
Phone
(814) 373-4298
Fax
(814) 724-2196
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD72890L PA Primary

Addresses

Primary practice location

765 Liberty St Ste 307
Meadville, PA 16335-2569

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 373-4298

Other identifiers 1

IdentifierTypeStateIssuer
0018466160001MedicaidPA

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
I20120412000284 PA Practitioner - Internal Medicine 7012178460 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pennsylvania State University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians
Primary Care ServicesGroup PAC ID 0244452258, 32 clinicians
Meadville Medical CenterGroup PAC ID 4284535790, 139 clinicians

Practice addresses (Care Compare)

1012 Water St
Meadville, PA 16335-3468
Phone (814) 337-2345

12387 Conneaut Lake Rd
Conneaut Lake, PA 16316-4203
Phone (814) 373-4298

751 Liberty St
Meadville, PA 16335-2559
Phone (814) 333-5155

991 Park Ave
Meadville, PA 16335-3344
Phone (814) 333-7030

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
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
MD72890LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Jul 20, 2015 Accepting new patients
Meadville Medical Center CurrentSince Jul 23, 2012 Accepting new patients
Meadville Medical Center Internal Medicine CurrentSince Jul 23, 2012 Accepting new patients
Primary Care Services Internal Medicine CurrentSince Oct 1, 2014 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Jul 20, 2015 Accepting new patients
Dedham Dialysis LLC Past Accepting new patients
Meadville Physician Services Internal Medicine Past Accepting new patients

Locations

12387 Conneaut Lake Rd
Conneaut Lake, PA 16316
Phone (814) 373-4298

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

765 Liberty St
Ste 307
Meadville, PA 16335
Phone (814) 336-1140

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

991 Park Ave
Meadville, PA 16335
Phone (814) 336-2531

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

Interoperability endpoints

  • Direct secure messaging: ktemplin@fcim.gwaydirect.com

Organizations & group practices 7

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 6

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1992737332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-373-4298",
            "fax_number": "814-724-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 LIBERTY ST STE 307",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352569",
            "telephone_number": "814-373-4298",
            "fax_number": "814-724-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLIN",
        "first_name": "KRISTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD72890L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018466160001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.