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KENIA MALDONADO VERGARA MD
NPI 1538740816
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 18, 2021PECOS Enrolled
2601 HOLME AVE FL 3, PHILADELPHIA, PA 19152(267) 350-7418 Get Directions Write a Review

NPPES record last updated: April 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenia Maldonado Vergara Md NPPES

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

KENIA MALDONADO VERGARA MD (NPI 1538740816) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538740816
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKENIA MALDONADO VERGARACredential: MD
Location Address2601 HOLME AVE FL 3Philadelphia, PA 19152-2096
Mailing Address2601 Holme Ave Fl 3Philadelphia, PA 19152-2096 · (267) 350-7418
Phone(267) 350-7418
Sole ProprietorNo
Enumeration DateApril 18, 2021
NPPES CertifiedApril 18, 2021
✔ NPI 1538740816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2601 HOLME AVE FL 3, Philadelphia, PA 19152
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenia Maldonado Vergara 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.

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.

WAYNE MILLER D.O.
Internal Medicine
2601 HOLME AVE FL 3
PHILADELPHIA, PA 19152
Philadelphia County (215) 335-6028
FNU KANWAL MD
Student in an Organized Health Care Education/Training Program
2601 HOLME AVE FL 3
PHILADELPHIA, PA 19152
Philadelphia County (215) 335-6520

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 Kenia Maldonado Vergara's NPI number?

The NPI number for Kenia Maldonado Vergara is 1538740816. It was assigned to this individual provider in the NPPES registry on April 18, 2021.

Where is Kenia Maldonado Vergara located?

Kenia Maldonado Vergara practices at 2601 Holme Ave Fl 3, Philadelphia, PA 19152. The listed phone number is (267) 350-7418.

What is Kenia Maldonado Vergara's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kenia Maldonado Vergara enrolled in Medicare?

Yes. Kenia Maldonado Vergara is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenia Maldonado Vergara was last updated on April 18, 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.