Individual provider Active NPI

Andrew D Sitkoff, DO

  • Internal Medicine Physician
  • West Chester, PA
National Provider Identifier
1063485308
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS005998L Issued in PA
Practice address
839 Lincoln Ave Ste a
West Chester, PA 19380-4435
Phone
(610) 241-3050
Fax
(610) 241-3059
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS005998L PA Primary

Addresses

Primary practice location

839 Lincoln Ave Ste a
West Chester, PA 19380-4435

Mailing address

839 Lincoln Ave Ste a
West Chester, PA 19380-4435
Phone (610) 241-3050

Other identifiers 4

IdentifierTypeStateIssuer
01138ZZZMedicaidPA
2528344OtherAETNA
1669514OtherPABLUE SHIELD
2346974001OtherKEYSTONE PERS CHOICE HALL

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
I20050114000086 PA Practitioner - Internal Medicine 7618926809

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS005998LPAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: andrew.sitkoff.1@15449.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1063485308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 LINCOLN AVE STE A",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804435",
            "telephone_number": "610-241-3050",
            "fax_number": "610-241-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 LINCOLN AVE STE A",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804435",
            "telephone_number": "610-241-3050",
            "fax_number": "610-241-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITKOFF",
        "first_name": "ANDREW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS005998L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01138ZZZ",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2528344",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1669514",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE PERS CHOICE HALL",
            "identifier": "2346974001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.