Individual provider Active NPI

Raul Moldovan, M.D.

  • Cardiovascular Disease Physician
  • Media, PA
National Provider Identifier
1093920217
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD441849 Issued in PA
Practice address
1088 W Baltimore Pike
Suite 2500 Riddle Health Center II
Media, PA 19063-5146
Phone
(610) 565-4107
Fax
(484) 565-8349
NPI assigned
May 11, 2007
Last updated
Oct 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD441849 PA Primary

Addresses

Primary practice location

1088 W Baltimore Pike
Suite 2500 Riddle Health Center II
Media, PA 19063-5146

Mailing address

1088 W Baltimore Pike
Suite 2500 Riddle Health Center II
Media, PA 19063-5146
Phone (610) 565-4107

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
I20111024000155 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4082887815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

100 E Lancaster Ave
Wynewood, PA 19096-3450

1020 Baltimore Pike
Suite 100
Glen Mills, PA 19342-1013
Phone (484) 227-7790

1068 W Baltimore Pike
Media, PA 19063-5104
Phone (610) 566-9400

1088 W Baltimore Pike
Media, PA 19063-5166

5027 Pennell Rd
Aston, PA 19014-1869
Phone (484) 227-9440

830 Old Lancaster Rd
Bryn Mawr, PA 19010-3118

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare CurrentSince Mar 1, 2015 Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

1088 W Baltimore Pike
Ste 2500
Media, PA 19063
Phone (610) 565-2449

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

965 Baltimore Pike
Ste B2
Springfield, PA 19064
Phone (484) 479-2600

100 E Lancaster Ave
Rm 2202
Wynnewood, PA 19096
Phone (610) 645-2684

100 E Lancaster Ave
Ste 356
Wynnewood, PA 19096
Phone (484) 476-2684

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1093920217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 W BALTIMORE PIKE",
            "address_2": "SUITE 2500 RIDDLE HEALTH CENTER II",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635146",
            "telephone_number": "610-565-4107",
            "fax_number": "484-565-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 W BALTIMORE PIKE",
            "address_2": "SUITE 2500 RIDDLE HEALTH CENTER II",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635146",
            "telephone_number": "610-565-4107",
            "fax_number": "484-565-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLDOVAN",
        "first_name": "RAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD441849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.