KENNETH R SHARP (DO) – Family Medicine Physician, NPI 1356340269

KENNETH R SHARP (DO) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. OS010664L (PA). The NPI Number for KENNETH R SHARP (DO) is 1356340269

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH R SHARP (DO)
NPI
1356340269
Phone
(484) 884-4500
Address
PO BOX 783311
Enumeration Date
21 July 2005
Last Update Date
24 September 2018

Doctor Profile

Medical School Name
ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
6107915930
Graduation Year
1997 (29 years ago)
PAC ID
1254327091
Group Practice PAC ID
3072425123
Professional Enrollment ID
I20040426000388
Address ID
PA181035824AL141XXAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,103 FAMILY PRACTICE in PA

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Provider Addresses for KENNETH R SHARP (DO)

  • American Box and Recycling, Philadelphia, Philadelphia County, Pennsylvania, United States

    PHILADELPHIA, PA 191783311

    Phone: (484) 884-4500

    Fax: (484) 884-0699

    Type: Mailing

  • 363, North 1st Street, Lehighton, Carbon County, Pennsylvania, 18235, United States

    LEHIGHTON, PA 182351450

    Phone: (484) 464-9510

    Fax: (484) 464-9515

    Type: Location

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: 2004-04-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20040426000388IFamily PracticePATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes786349$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit265265$0
G0008Administration of influenza virus vaccine140134$0
90662Influenza vaccine split virus, preservative free118118$0
99213Established patient office or other outpatient visit, 20-29 minutes9986$0
View full utilization report →

Insurance plans in this area (ZIP 19178)

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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: 3072425123View full group profile

Reviews

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Frequently asked questions

How is KENNETH R SHARP (DO) identified in CMS data?
CMS-hosted NPPES data lists KENNETH R SHARP (DO) with NPI 1356340269.
Does the file indicate KENNETH R SHARP (DO) is practicing under active NPI?
Directory data currently reports KENNETH R SHARP (DO) as active.
What taxonomy line describes KENNETH R SHARP (DO)?
For research purposes, treat KENNETH R SHARP (DO) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is KENNETH R SHARP (DO) based?
KENNETH R SHARP (DO) is tied to Philadelphia, Pennsylvania in the data we show; additional addresses may exist on the full record.
Is the information about KENNETH R SHARP (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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