KRISTIN M CAM (MD) – Dermatology Physician, NPI 1295927945

KRISTIN M CAM (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in DERMATOLOGY, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. C1-0010159 (DE). The NPI Number for KRISTIN M CAM (MD) is 1295927945

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN M CAM (MD)
NPI
1295927945
Phone
(215) 955-6680
Address
833 CHESTNUT ST
Enumeration Date
16 August 2007
Last Update Date
24 June 2021

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
7032374000
Graduation Year
2006 (20 years ago)
PAC ID
7012163983
Group Practice PAC ID
3779495858
Professional Enrollment ID
I20140909001789
Address ID
VA220464518FA201XXSTXX400

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness85
Years active:18State licenses:4Other namesUpdated within 12 months

808 DERMATOLOGY in PA

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Provider Addresses for KRISTIN M CAM (MD)

  • 833, Chestnut Street, Society Hill, Philadelphia, Philadelphia County, Pennsylvania, 19107, United States

    SUITE 740

    PHILADELPHIA, PA 191074414

    Phone: (215) 955-6680

    Fax: (215) 503-2556

    Type: Mailing

  • 201 N WASHINGTON ST

    FALLS CHURCH, VA 220464518

    Phone: (703) 237-4000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140909001789IDermatologyDCTBD
I20260212002677IDermatologyVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19107)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779495858View full group profile

Reviews

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Frequently asked questions

How do I look up KRISTIN M CAM (MD) by NPI?
Use NPI 1295927945 when you need to reference KRISTIN M CAM (MD) in forms, claims, or directories.
Is KRISTIN M CAM (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KRISTIN M CAM (MD)?
The page reflects Dermatology Physician for KRISTIN M CAM (MD). Clinical services aligned with this taxonomy classification.
Where does public data place KRISTIN M CAM (MD)?
The snapshot lists Philadelphia, Pennsylvania for KRISTIN M CAM (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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