Active NPI
Kenneth Norman Vermette, M.D.
- Hospice and Palliative Medicine (Family Medicine) Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- MD444355
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136600711 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0905 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitas Solutions Inc | Hospice and Palliative Medicine | Current | 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
- 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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Miramar, FL
- NPI 1861666497
PA
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.