DR. KAREN J KISH MD
NPI 1538329503
Surgery in Darby, PA

Q: What is Karen Kish's NPI number?

The NPI number for Karen Kish is 1538329503. It was assigned to this individual provider in the NPPES registry on June 13, 2008.

Q: What is Karen Kish's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Karen Kish was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 13, 2008PECOS EnrolledAccepts Medicare Assignment

1500 LANSDOWNE AVE STE G103, DARBY, PA 19023(610) 237-7922 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 25, 2021, Dec 17, 2018 (2 updates tracked since 2018).

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About Dr. Karen J Kish Md NPPES

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

DR. KAREN J KISH MD (NPI 1538329503) is an individual surgery provider in Darby, Pennsylvania, licensed in Pennsylvania (MD427347) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Mercy Catholic Medical Center- Mercy Fitzgerald, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1538329503

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. KAREN J KISHCredential: MD

Location Address1500 LANSDOWNE AVE STE G103Darby, PA 19023-1200

Mailing Address41 University Dr Ste 106Newtown, PA 18940-1873

Phone(610) 237-7922

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJune 13, 2008

Last NPPES UpdateMay 25, 20212 updates tracked since enumeration

NPPES CertifiedMay 25, 2021

✔ NPI 1538329503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in PA · MD427347✔ Licensed in NJ · 25MA08375900

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License 25MA08375900 (NJ)

1500 LANSDOWNE AVE STE G103, Darby, PA 19023

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Other Identifiers 4

Other86158001Cigna

Other3540396000NJ · Amerihealth Nj/ibc/keystone

OtherP4524965Uhc Commercial And Medicare

Other1003344378901Uhc Community & State Americhoice

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Karen J Kish Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173787876

PECOS Enrollment IDI20151229000833

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

62 services46 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

21 services21 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

20 services13 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Catholic Medical Center- Mercy Fitzgerald

Acute Care Hospitals · Darby, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390156

Location1500 Lansdowne AveDarby, PA 19023 · Delaware County

Emergency services

Nazareth Hospital

Acute Care Hospitals · Philadelphia, PA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390204

Location2601 Holme AvePhiladelphia, PA 19152 · Philadelphia County

Emergency services

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390258

LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19023 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

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 2

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

MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA

Internal Medicine (Hospice and Palliative Medicine)

1500 LANSDOWNE AVE STE G103
DARBY, PA 19023

Delaware County (610) 690-2101

TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP

Internal Medicine (Hematology & Oncology)

1500 LANSDOWNE AVE STE G103
DARBY, PA 19023

Delaware County (610) 237-7950

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 Karen Kish's NPI number?

The NPI number for Karen Kish is 1538329503. It was assigned to this individual provider in the NPPES registry on June 13, 2008.

Where is Karen Kish located?

Karen Kish practices at 1500 Lansdowne Ave Ste G103, Darby, PA 19023. The listed phone number is (610) 237-7922.

What is Karen Kish's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Karen Kish enrolled in Medicare?

Yes. Karen Kish is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Karen Kish accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Karen Kish 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.

Is Karen Kish affiliated with any hospitals?

According to CMS data, Karen Kish is affiliated with Mercy Catholic Medical Center- Mercy Fitzgerald, Nazareth Hospital and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Kish was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.