Individual provider Active NPI

Paul M Shipkin, M.D., P.C.

  • Neurological Surgery Physician
  • Jenkintown, PA
National Provider Identifier
1013960764
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD 014493E Issued in PA
Practice address
101 Greenwood Ave Ste 450
Jenkintown, PA 19046-2627
Phone
(215) 293-9140
Fax
(215) 293-9143
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD 014493E PA Primary

Addresses

Primary practice location

101 Greenwood Ave Ste 450
Jenkintown, PA 19046-2627

Mailing address

101 Greenwood Ave
Ste 450
Jenkintown, PA 19046-2627
Phone (215) 293-9140

Other practice location 1

1200 Old York Rd
Suite 210
Warminster, PA 18974-2013
Phone (215) 293-9140

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
I20060214000443 PA Practitioner - Neurology 9638184526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Albert Einstein College of Medicine of Yeshiva University, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

101 Greenwood Ave
Suite 450
Jenkintown, PA 19046-2636
Phone (215) 293-9140

3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127
Phone (215) 662-3606

Hospital & facility affiliations

  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
73.58
Promoting interoperability
100
Improvement activities
40
Cost
76.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 014493EPAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Feb 1, 2015 Accepting new patients
University of Penn-Medical Group CurrentSince Feb 1, 2015 Accepting new patients
Paul M Shipkin M.D., P.C. CurrentSince Dec 4, 1978 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

101 Greenwood Ave
Ste 450
Jenkintown, PA 19046
Phone (215) 293-9140

3400 Civic Center Blvd
Fl 2
Philadelphia, PA 19104

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

1200 Old York Rd
Ste 210
Warminster, PA 18974
Phone (215) 293-9140

Organizations & group practices 5

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 3

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013960764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GREENWOOD AVE",
            "address_2": "STE 450",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462627",
            "telephone_number": "215-293-9140",
            "fax_number": "215-293-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GREENWOOD AVE STE 450",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462627",
            "telephone_number": "215-293-9140",
            "fax_number": "215-293-9143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Old York Rd",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Warminster",
            "state": "PA",
            "postal_code": "189742013",
            "country_code": "US",
            "telephone_number": "215-293-9140",
            "fax_number": "215-293-9143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIPKIN",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "M.D., P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-07-21",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD 014493E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.