Individual provider Active NPI

Kimberly Beth Fuld, D.O.

  • Pediatric Endocrinology Physician
  • Philadelphia, PA
National Provider Identifier
1033236526
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
OS015168 Issued in PA
Practice address
3601 A St
Section of Endocrinology
Philadelphia, PA 19134-1043
Phone
(610) 564-3272
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X OS015168 PA Primary

Addresses

Primary practice location

3601 A St
Section of Endocrinology
Philadelphia, PA 19134-1043

Mailing address

3601 A St
Section of Endocrinology
Philadelphia, PA 19134-1043
Phone (610) 564-3272

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
I20101119001055 PA Practitioner - Pediatric MedicinePractitioner - Endocrinology 9830385541 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
STC Pediatrics LLC CurrentSince Dec 6, 2019 Accepting new patients
STC Pediatrics LLC CurrentSince Dec 6, 2019 Accepting new patients
STC Pediatrics LLC Current Accepting new patients
Tower Health Medical Group CurrentSince Jan 1, 2011 Accepting new patients
Tower Health Medical Group CurrentSince Jan 1, 2011 Accepting new patients
Tower Health Medical Group Current Accepting new patients
STC Pediatrics LLC Past Accepting new patients

Locations

153 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 526-3200

828A Newtown Yardley Rd
Newtown, PA 18940
Phone (215) 369-3555

160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067

300 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 427-8363

1020 Grings Hill Rd
Sinking Spring, PA 19608
Phone (610) 898-5030

301 S 7th Ave
Ste 3120
West Reading, PA 19611
Phone (484) 628-2445

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 7

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1033236526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 A ST",
            "address_2": "SECTION OF ENDOCRINOLOGY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341043",
            "telephone_number": "610-564-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 A ST",
            "address_2": "SECTION OF ENDOCRINOLOGY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341043",
            "telephone_number": "610-564-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULD",
        "first_name": "KIMBERLY",
        "middle_name": "BETH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "PA",
            "license": "OS015168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.