Individual provider Active NPI

Michael James Karon, DO

  • Plastic and Reconstructive Surgery Physician
  • Villanova, PA
National Provider Identifier
1013448208
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
OS020690 Issued in PA
Practice address
775 E Lancaster Ave Ste 230
Villanova, PA 19085-1529
Phone
(610) 896-6666
Fax
(610) 896-6669
NPI assigned
Mar 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X OS020690 PA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

775 E Lancaster Ave Ste 230
Villanova, PA 19085-1529

Mailing address

775 E Lancaster Ave Ste 230
Villanova, PA 19085-1529
Phone (267) 342-3279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250829000113 PA Practitioner - Plastic and Reconstructive Surgery 7517232515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Philadelphia College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line Institute of Plastic Surgery Inc 2 clinicians

Practice addresses (Care Compare)

775 E Lancaster Ave
Suite 230
Villanova, PA 19085-1529
Phone (610) 896-6666

Hospital & facility affiliations

  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision11
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Institute of Plastic Surgery Inc CurrentSince Aug 1, 2025 Accepting new patients
Lankenau Medical Center Past Accepting new patients

Locations

775 E Lancaster Ave
Ste 230
Villanova, PA 19085
Phone (610) 896-6666

100 E Lancaster Ave
#660
Wynnewood, PA 19096
Phone (610) 896-6666

100 E Lancaster Ave
Ste 660
Wynnewood, PA 19096
Phone (610) 896-7550

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEGCCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JEGCCA/Endpoint/JEGCCA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1013448208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 E LANCASTER AVE STE 230",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851529",
            "telephone_number": "267-342-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 E LANCASTER AVE STE 230",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851529",
            "telephone_number": "610-896-6666",
            "fax_number": "610-896-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARON",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "OS020690",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villanova, PA

Sources for this page

Verify at the official NPI Registry.