DR. GREGORY JOHN MCKENNA (D.O.) – Vascular & Interventional Radiology Physician, NPI 1710320569

DR. GREGORY JOHN MCKENNA (D.O.) is a healthcare provider. based in Dallas, Texas. specializing in DIAGNOSTIC RADIOLOGY, INTERVENTIONAL RADIOLOGY. They hold the professional credentials D.O.. They hold a License No. 2026-01301 (NC). The NPI Number for DR. GREGORY JOHN MCKENNA (D.O.) is 1710320569

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. GREGORY JOHN MCKENNA (D.O.)
NPI
1710320569
Phone
(510) 683-9500
Address
2825 OAK LAWN AVE UNIT 192749
Enumeration Date
11 April 2013
Last Update Date
2 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2158603360
Graduation Year
2013 (13 years ago)
PAC ID
0143452888
Group Practice PAC ID
6204730955
Professional Enrollment ID
I20181218000406
Address ID
PA190675567YA777XXRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness85
Years active:13State licenses:5Digital endpointsOther names

2,576 DIAGNOSTIC RADIOLOGY in PA

Provider Addresses for DR. GREGORY JOHN MCKENNA (D.O.)

  • 2825 OAK LAWN AVE UNIT 192749

    DALLAS, TX 752194688

    Phone: (510) 683-9500

    Fax: (877) 880-2039

    Type: Mailing

  • 777 Township Line Rd Ste 150

    Yardley, PA 190675567

    Phone: (215) 860-3360

    Fax: (215) 860-3362

    Type: Location

  • 621 S AMERICAN ST

    REAR G

    PHILADELPHIA, PA 191472328

    Phone:

    Type: Mailing

  • 380 OXFORD VALLEY RD

    LANGHORNE, PA 190478304

    Phone: (215) 949-5000

    Type: Location

  • PO BOX 830624

    PHILADELPHIA, PA 191820624

    Phone: (800) 666-1816

    Fax: (706) 653-0615

    Type: Mailing

  • 1500 LANSDOWNE AVE

    DARBY, PA 190231200

    Phone: (610) 237-4000

    Type: Location

  • 777 TOWNSHIP LINE RD STE 150

    YARDLEY, PA 190675567

    Phone: (215) 860-3360

    Fax: (215) 860-3362

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-03-12 • Largest payer in this snapshot: Inari Medical, Inc. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$23
View all Open Payments →|Open Payments Risk Radar →

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: 2026-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20181218000406IDiagnostic RadiologyPATBD
I20250206000096IDiagnostic RadiologyNJTBD
I20251013000973IDiagnostic RadiologyDETBD
I20251125003741IInterventional RadiologyKYTBD
I20260109001399IDiagnostic RadiologyWVTBD

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
49083Drainage of fluid from abdominal cavity using imaging guidance4421$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes4341$0
36573Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older3432$0
76937Ultrasonic guidance for blood vessel access3331$0
32555Aspiration of fluid from chest cavity using imaging guidance3126$0
View full utilization report →

Insurance plans in this area (ZIP 75219)

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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: 6204730955View full group profile
NameSpecialtyState
Internal MedicinePA
Pulmonary DiseasePA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseasePA
Nurse PractitionerPA
-PA
-PA
Emergency MedicinePA
Nurse PractitionerPA
-PA
Pulmonary Disease, Critical Care (Intensivists)PA

Reviews

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Frequently asked questions

Does DR. GREGORY JOHN MCKENNA (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. GREGORY JOHN MCKENNA (D.O.) uses 1710320569.
Does the file indicate DR. GREGORY JOHN MCKENNA (D.O.) is practicing under active NPI?
Directory data currently reports DR. GREGORY JOHN MCKENNA (D.O.) as active.
What is DR. GREGORY JOHN MCKENNA (D.O.)'s specialty?
The listing groups DR. GREGORY JOHN MCKENNA (D.O.) with Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. GREGORY JOHN MCKENNA (D.O.)?
DR. GREGORY JOHN MCKENNA (D.O.)'s geographic hint is Dallas, Texas in our summary view.
Is the information about DR. GREGORY JOHN MCKENNA (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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