Individual provider Active NPI

Raffi H Kadian, DPM

  • Podiatrist
  • Albrightsville, PA
National Provider Identifier
1023210705
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC003243L Issued in PA
Practice address
Rte 903 Pine Point Plaza
Suite 601
Albrightsville, PA 18210-0163
Phone
(570) 722-1238
Fax
(215) 236-8206
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC003243L PA Primary

Addresses

Primary practice location

Rte 903 Pine Point Plaza
Suite 601
Albrightsville, PA 18210-0163

Mailing address

PO Box 163
Rte 903 Pine Point Plaza Suite 601
Albrightsville, PA 18210-0163
Phone (570) 722-1238

Other identifiers 3

IdentifierTypeStateIssuer
13585OtherPAHEALTH PARTNERS
0011322000011MedicaidPA
1001055OtherPAKEYSTONE MERCY HEALTH PLA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110311000686 PA Practitioner - Podiatry 7719169796 Practice locations: Philadelphia, PA; Albrightsville, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Penn Medical Group, P.C. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023210705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163",
            "address_2": "RTE 903 PINE POINT PLAZA SUITE 601",
            "city": "ALBRIGHTSVILLE",
            "state": "PA",
            "postal_code": "182100163",
            "telephone_number": "570-722-1238",
            "fax_number": "215-236-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RTE 903 PINE POINT PLAZA",
            "address_2": "SUITE 601",
            "city": "ALBRIGHTSVILLE",
            "state": "PA",
            "postal_code": "182100163",
            "telephone_number": "570-722-1238",
            "fax_number": "215-236-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADIAN",
        "first_name": "RAFFI",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003243L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "13585",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011322000011",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HEALTH PLA",
            "identifier": "1001055",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albrightsville, PA

Sources for this page

Verify at the official NPI Registry.