Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOSHUA CALEB PRENNER MD
NPI 1619503604
Dermatology in Philadelphia, PA

Active since March 21, 2020PECOS Enrolled
3400 CIVIC CENTER BLVD STE 1-330S, PHILADELPHIA, PA 19104(215) 662-2737 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2026, Feb 7, 2025, Oct 6, 2024 and 2 more (5 updates tracked since 2020).

About Joshua Caleb Prenner Md NPPES

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

JOSHUA CALEB PRENNER MD (NPI 1619503604) is an individual dermatology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD495434) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619503604
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameJOSHUA CALEB PRENNERCredential: MD
Location Address3400 CIVIC CENTER BLVD STE 1-330SPhiladelphia, PA 19104-5132
Mailing Address3400 Civic Center Blvd Ste 1-330sPhiladelphia, PA 19104-5132
Sole ProprietorNo
Enumeration DateMarch 21, 2020
Last NPPES UpdateJuly 8, 20265 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
NPI 1619503604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in PA · MD495434
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD495434 (PA)
3400 CIVIC CENTER BLVD STE 1-330S, Philadelphia, PA 19104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Joshua Caleb Prenner 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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.

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 Joshua Prenner's NPI number?

The NPI number for Joshua Prenner is 1619503604. It was assigned to this individual provider in the NPPES registry on March 21, 2020.

Where is Joshua Prenner located?

Joshua Prenner practices at 3400 Civic Center Blvd Ste 1-330s, Philadelphia, PA 19104. The listed phone number is (215) 662-2737.

What is Joshua Prenner's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Joshua Prenner enrolled in Medicare?

Yes. Joshua Prenner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joshua Prenner was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.