Individual provider Active NPI

Daniel M Kolansky, MD

  • Interventional Cardiology Physician
  • Philadelphia, PA
National Provider Identifier
1124054812
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD046647L Issued in PA
Practice address
3400 Civic Center Blvd FL 2
Philadelphia, PA 19104-5127
Phone
(215) 615-4949
Fax
(215) 615-0829
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD046647L PA
Cardiovascular Disease Physician 207RC0000X MD046647L PA
Interventional Cardiology Physician 207RI0011X MD046647L PA Primary

Addresses

Primary practice location

3400 Civic Center Blvd FL 2
Philadelphia, PA 19104-5127

Mailing address

3400 Civic Center Blvd FL 2
Philadelphia, PA 19104-5127
Phone (215) 615-4949

Other identifiers 1

IdentifierTypeStateIssuer
0013981970002MedicaidPA

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
I20120207000478 PA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8224295050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Perelman School of Med at the University of Pennsylvania, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-7355

Hospital & facility affiliations

  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010
  • Christiana Hospital Hospital, Newark, DE, CCN 080001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD046647LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, PC Current Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Internal Medicine CurrentSince Dec 18, 2019 Accepting new patients
University of Penn-Medical Group CurrentSince Jun 24, 1992 Accepting new patients
University of Penn - Medical Group Cardiovascular Disease CurrentSince Jun 24, 1992 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Dec 18, 2019 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Past Accepting new patients

Locations

7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311

3400 Civic Center Blvd
Ste 2E
Philadelphia, PA 19104
Phone (215) 615-0820

51 N 39th St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-9189

3400 Civic Center Blvd
Fl 2
Philadelphia, PA 19104

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

51 N 39th St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-9010

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

250 King of Prussia Rd
Radnor, PA 19087
Phone (610) 902-1800

145 King of Prussia Rd
Ste 110
Wayne, PA 19087
Phone (610) 902-2273

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1124054812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045127",
            "telephone_number": "215-615-4949",
            "fax_number": "215-615-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045127",
            "telephone_number": "215-615-4949",
            "fax_number": "215-615-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLANSKY",
        "first_name": "DANIEL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD046647L",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD046647L",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD046647L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013981970002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.