DR. JAKE KIESERMAN MD
NPI 1669056602
Internal Medicine in Philadelphia, PA

Q: What is Jake Kieserman's NPI number?

The NPI number for Jake Kieserman is 1669056602. It was assigned to this individual provider in the NPPES registry on May 6, 2021.

Q: What is Jake Kieserman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jake Kieserman was last updated on June 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 06, 2021PECOS Enrolled

3900 WOODLAND AVE, PHILADELPHIA, PA 19104(215) 823-5800 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 26, 2024, Sep 15, 2021, May 6, 2021 (3 updates tracked since 2021).

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About Dr. Jake Kieserman Md NPPES

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

DR. JAKE KIESERMAN MD (NPI 1669056602) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD481943) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669056602

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JAKE KIESERMANCredential: MD

Location Address3900 WOODLAND AVEPhiladelphia, PA 19104-4551

Mailing Address3400 Spruce StPhiladelphia, PA 19104-4238

Phone(215) 823-5800

Sole ProprietorNo

Enumeration DateMay 6, 2021

Last NPPES UpdateJune 26, 20243 updates tracked since enumeration

NPPES CertifiedJune 26, 2024

✔ NPI 1669056602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MD481943

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3900 WOODLAND AVE, Philadelphia, PA 19104

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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)

Dr. Jake Kieserman 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

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