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DR. KEVIN C. DYSART MD
NPI 1497830582
Pediatrics - Neonatal-Perinatal Medicine in Philadelphia, PA

Active since October 26, 2006PECOS Enrolled
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - NEONATOLOGY, PHILADELPHIA, PA 19104(215) 590-1944(215) 590-4454 Get Directions Write a Review

NPPES record last updated: May 16, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kevin C. Dysart Md NPPES

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

DR. KEVIN C. DYSART MD (NPI 1497830582) is an individual neonatal-perinatal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD417610) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497830582
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. KEVIN C. DYSARTCredential: MD
Location Address3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - NEONATOLOGYPhiladelphia, PA 19104-4319
Mailing Address100 E Penn Sq, 9th FloorPhiladelphia, PA 19107-3323 · (267) 425-9234 · Fax (267) 425-9299
Phone(215) 590-1944
Fax(215) 590-4454
Sole ProprietorNo
Enumeration DateOctober 26, 2006
Last NPPES UpdateMay 16, 2013
✔ NPI 1497830582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in PA · MD417610
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Other Identifiers 5

Medicaid0068110NJ
Medicaid4076958MD
Medicare UPINI14744
Medicaid101253414PA
Medicare PIN091153SAJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin C. Dysart 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 Reassignments

2

Medicare enrollment records show Kevin Dysart reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Penn-Medical Group
Same address
Plastic Surgery
3400 CIVIC CENTER BLVD, SOUTH PAVILLION 1ST FLOOR
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
NPI 1194113118 (215) 662-7300
Childrens Health Care Associates, Inc
Same address
Neurology
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,225 clinicians in this Medicare group
NPI 1033204086 (215) 590-1000

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

Other Providers at the Same Location NPPES 20

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

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Kevin Dysart's NPI number?

The NPI number for Kevin Dysart is 1497830582. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Kevin Dysart located?

Kevin Dysart practices at 3401 Civic Center Blvd Children's Hospital Of Philadelphia - Neonatology, Philadelphia, PA 19104. The listed phone number is (215) 590-1944.

What is Kevin Dysart's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Kevin Dysart enrolled in Medicare?

Yes. Kevin Dysart is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kevin Dysart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Dysart reassigns Medicare benefits to 2 organizations: University Of Penn-Medical Group (Philadelphia, PA) and Childrens Health Care Associates, Inc (Philadelphia, PA). Each 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 Kevin Dysart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Dysart accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Kevin Dysart as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Dysart was last updated on May 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.