KENDRA SUZANNE REISNER MD
NPI 1053637173
Pediatrics in West Mifflin, PA

Q: What is Kendra Reisner's NPI number?

The NPI number for Kendra Reisner is 1053637173. It was assigned to this individual provider in the NPPES registry on April 14, 2010.

Q: What is Kendra Reisner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kendra Reisner was last updated on May 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 14, 2010PECOS Enrolled

1907 LEBANON CHURCH RD, SUITE 201, WEST MIFFLIN, PA 15122(412) 653-8500(412) 653-8515 Get Directions Write a Review

NPPES record last updated: May 21, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kendra Suzanne Reisner Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDRA SUZANNE REISNER MD (NPI 1053637173) is an individual pediatrics provider in West Mifflin, Pennsylvania, licensed in Pennsylvania (MD451051) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in West Mifflin.

NPPES Registry Identity

NPI1053637173

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameKENDRA SUZANNE REISNERCredential: MD

Location Address1907 LEBANON CHURCH RD, SUITE 201West Mifflin, PA 15122

Mailing Address9910 Franklin Square Dr Ste 2110Baltimore, MD 21236-4902 · (410) 933-5412 · Fax (410) 933-1390

Phone(412) 653-8500

Fax(412) 653-8515

Sole ProprietorNo

Enumeration DateApril 14, 2010

Last NPPES UpdateMay 21, 2018

✔ NPI 1053637173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in PA · MD451051

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1907 LEBANON CHURCH RD, West Mifflin, PA 15122

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Secondary Practice Location 1

Location 11907 Lebanon Church Rd, Suite 201West Mifflin, PA 15122-2432 · Phone (412) 653-8500 · Fax (412) 653-8515

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendra Suzanne Reisner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kendra Reisner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Johns Hopkins Community Physicians

181 mi

Physical Medicine & Rehabilitation

10710 CHARTER DRIVE, STE 100
Columbia, MD 21044

Reassigned Medicare billing, Maryland enrollment
952 clinicians in this Medicare group

NPI 1437970373 (410) 720-7429

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRIMARY CARE GROUP 4 INC

Internal Medicine

1907 LEBANON CHURCH RD
WEST MIFFLIN, PA 15122

Allegheny County (412) 655-8515

MRS. GEORGINE B DEMARINO MD

Radiology (Diagnostic Radiology)

1907 LEBANON CHURCH RD
WEST MIFFLIN, PA 15122

Allegheny County (412) 650-7830

EDWARD W JEW III MD AND ASSOCIATES PC

Family Medicine

1907 LEBANON CHURCH RD, SUITE 230
WEST MIFFLIN, PA 15122

Allegheny County (412) 650-2370

WEST MIFFLIN IMAGING ASSOCIATES LP

Radiology (Diagnostic Radiology)

1907 LEBANON CHURCH RD
WEST MIFFLIN, PA 15122

Allegheny County (412) 650-7830

KIMBERLY VAN DONGEN DO

Internal Medicine (Sleep Medicine)

1907 LEBANON CHURCH RD
WEST MIFFLIN, PA 15122

Allegheny County (412) 648-6161

MISS TERESA SOKOLOWSKI CRNP

Nurse Practitioner (Family)

1907 LEBANON CHURCH RD
WEST MIFFLIN, PA 15122

Allegheny County (412) 655-8515

MARTIN EARLE MD

Internal Medicine (Hematology & Oncology)

1907 LEBANON CHURCH RD
WEST MIFFLIN, PA 15122

Allegheny County (412) 653-8100

SIDRA CHAVLA

Family Medicine

1907 LEBANON CHURCH RD
WEST MIFFLIN, PA 15122

Allegheny County (124) 650-9700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendra Reisner's NPI number?

The NPI number for Kendra Reisner is 1053637173. It was assigned to this individual provider in the NPPES registry on April 14, 2010.

Where is Kendra Reisner located?

Kendra Reisner practices at 1907 Lebanon Church Rd Suite 201, West Mifflin, PA 15122. The listed phone number is (412) 653-8500.

What is Kendra Reisner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kendra Reisner enrolled in Medicare?

Yes. Kendra Reisner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kendra Reisner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Reisner reassigns Medicare benefits to Johns Hopkins Community Physicians (Columbia, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kendra Reisner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kendra Reisner was last updated on May 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.