Individual provider Active NPI

Kenneth Norman Vermette, M.D.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Philadelphia, PA
National Provider Identifier
1992775977
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
MD444355 Issued in PA
Practice address
561 Fairthorne Ave
Philadelphia, PA 19128-2412
Phone
(215) 487-4000
Fax
(215) 483-8187
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H0905 TX
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X MD444355 PA Primary

Addresses

Primary practice location

561 Fairthorne Ave
Philadelphia, PA 19128-2412

Mailing address

561 Fairthorne Ave
Philadelphia, PA 19128-2412
Phone (215) 487-4000

Other practice location 1

1787 Sentry Pkwy W Ste 405
Blue Bell, PA 19422-2239
Phone (877) 868-4827

Other identifiers 1

IdentifierTypeStateIssuer
136600711MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address referral@vitas.direct.kno2fy.com VITAS Solutions Inc

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
I20120615000196 PA Practitioner - PsychiatryPractitioner - Hospice/Palliative Care 3274663299 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0905TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitas Solutions Inc Hospice and Palliative Medicine CurrentSince Jul 20, 2015 Accepting new patients

Locations

3720 Executive Way
Miramar, FL 33025

255 E 5th St
Ste 1050
Cincinnati, OH 45202

1787 Sentry Pkwy W
Ste 405
Blue Bell, PA 19422
Phone (215) 542-3000

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

2301 S Broad St
Philadelphia, PA 19148
Phone (215) 952-9000

Interoperability endpoints

  • Direct secure messaging: referral@vitas.direct.kno2fy.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1992775977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 FAIRTHORNE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282412",
            "telephone_number": "215-487-4000",
            "fax_number": "215-483-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 FAIRTHORNE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282412",
            "telephone_number": "215-487-4000",
            "fax_number": "215-483-8187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1787 Sentry Pkwy W Ste 405",
            "address_purpose": "LOCATION",
            "city": "Blue Bell",
            "state": "PA",
            "postal_code": "194222239",
            "country_code": "US",
            "telephone_number": "877-868-4827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERMETTE",
        "first_name": "KENNETH",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H0905",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "PA",
            "license": "MD444355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136600711",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referral@vitas.direct.kno2fy.com",
            "affiliation": "Y",
            "affiliationName": "VITAS Solutions Inc",
            "address_1": "3720 Executive Way",
            "city": "Miramar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330253946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.