Organization Active NPI

Kurt R. Crowley, M.D., P.C.

  • Internal Medicine Physician
  • Malvern, PA
National Provider Identifier
1023209236
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD058769L Issued in PA
Legal business name
KURT R. CROWLEY, M.D., P.C.
Practice address
266 Lancaster Ave
Suite 301
Malvern, PA 19355-3256
Phone
(610) 578-0155
Fax
(610) 578-0156
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Dr. Kurt R Crowley, M.D.NPI 1922016930
Title
Physician
Phone
(610) 578-0155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD058769L PA Primary

Addresses

Primary practice location

266 Lancaster Ave
Suite 301
Malvern, PA 19355-3256

Mailing address

266 Lancaster Ave
Suite 301
Malvern, PA 19355-3256
Phone (610) 578-0155

Other identifiers 2

IdentifierTypeStateIssuer
0470905000OtherPAINDEPENDENCE BLUE CROSS
680928OtherPAHIGHMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101230000060 PA Part B Supplier - Clinic/Group Practice 6608064910 Receives reassigned benefits from 1 practitioner
Practice locations: Malvern, PA

National Provider Directory

National Provider Directory

Locations

325 Central Ave
Ste 301
Malvern, PA 19355
Phone (610) 578-0155

266 Lancaster Ave
Ste 301
Malvern, PA 19355
Phone (610) 578-0155

325 Central Ave
Ste 102
Malvern, PA 19355
Phone (610) 296-0142

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1023209236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 LANCASTER AVE",
            "address_2": "SUITE 301",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553256",
            "telephone_number": "610-578-0155",
            "fax_number": "610-578-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 LANCASTER AVE",
            "address_2": "SUITE 301",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553256",
            "telephone_number": "610-578-0155",
            "fax_number": "610-578-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURT R. CROWLEY, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "610-578-0155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD058769L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0470905000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "680928",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.