Active NPI
Denise M. Kenna, M.D.
- Plastic Surgery Physician
- York, PA
National Provider Identifier
1992791867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MD418157
- Practice address
- 2350 Freedom Way
Suite 107
York, PA 17402 - Phone
- (717) 741-9914
- Fax
- (717) 741-9917
- NPI assigned
- Sep 26, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | MD418157 | PA | |
| Plastic Surgery Physician | 208200000X | MD418157 | PA | Primary |
Addresses
Primary practice location
2350 Freedom Way
Suite 107
York, PA 17402
Mailing address
2350 Freedom Way
Suite 107
York, PA 17402
Phone (717) 741-9914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001866305004 | Medicaid | PA |
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.08 of 100
- Quality
- 76.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Denise M. Kenna, M.D. | Plastic Surgery | Past | Accepting new patients |
Locations
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
1779 5th Ave
York, PA 17403
Phone (717) 815-2700
2350 Freedom Way
Ste 107
York, PA 17402
Phone (717) 741-9914
Interoperability endpoints
- dkenna109066@wellspan.direct-ci.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 and National Provider Directory roles.
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
- Family Medicine Physician
- New Oxford, PA
- NPI 1437637691
-
- Plastic Surgery Physician
- York, PA
- NPI 1346765229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433376000000",
"number": "1992791867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 FREEDOM WAY",
"address_2": "SUITE 107",
"city": "YORK",
"state": "PA",
"postal_code": "17402",
"telephone_number": "717-741-9914",
"fax_number": "717-741-9917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 FREEDOM WAY",
"address_2": "SUITE 107",
"city": "YORK",
"state": "PA",
"postal_code": "17402",
"telephone_number": "717-741-9914",
"fax_number": "717-741-9917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNA",
"first_name": "DENISE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-26",
"last_updated": "2015-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "PA",
"license": "MD418157",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "PA",
"license": "MD418157",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001866305004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.