Robert McMurtrie Jr., DO | NPI 1144269366

Key facts

NPI: 1144269366
Entity type: Individual (NPI type 1)
Primary specialty: Pain Medicine (Anesthesiology) Physician 207LP2900X
License: OS-010397-L (PA)
Practice address: 420 S 5TH Ave
D1
West Reading, PA 19611-2143
Phone: (484) 628-6283
NPI assigned: Jun 5, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 4

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.

Clinical Pain Management Associates, PC Pain Medicine Physician · Fairless Hills, PA · NPI 1265488308

NPD (past)
Delaware Valley Anesthesia Associates, PC Anesthesiology Physician · Fairless Hills, PA · NPI 1861446478

NPD (past)
Pain Care Institute Interventional Pain Medicine Physician · Philadelphia, PA · NPI 1548214182

NPD (past)
Valley Back & Pain Management Pain Medicine (Anesthesiology) Physician · Huntingdon Valley, PA · NPI 1417904319

NPD (past) PAIN MEDICINE

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Osteopathy

State licenses

License	State	Type	Specialty
OS-010397-L	PA	MD	Pain Medicine (Anesthesiology) Physician

Practice roles

Organization	Specialty	Status	New patients
Clinical Pain Management Associates, PC		Past	Accepting new patients
Delaware Valley Anesthesia Associates, PC		Past	Accepting new patients
Pain Care Institute		Past	Accepting new patients
Valley Back & Pain Management	Pain Medicine	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pain Medicine (Anesthesiology) Physician	207LP2900X	OS-010397-L	PA	Yes
Pain Medicine (Anesthesiology) Physician	207LP2900X	25MB07488400	NJ
Pain Medicine (Anesthesiology) Physician	207LP2900X	C2-0006925	DE

Addresses

Primary practice location

420 S 5TH Ave
D1
West Reading, PA 19611-2143

Mailing address

PO Box 13579
Reading, PA 19612-3579

Other identifiers

Identifier	Type	State	Issuer
1144269366	Other	PA	BRAVO
1208801	Other	NJ	AETNA
23-2919275	Other	PA	DEVON
50052988	Other	PA	CAPTIAL BLUE CROSS
751462	Other	PA	PA BLUE SHIELD
8077883	Other	PA	CIGNA
22-1994560	Other	PA	DEVON
22-1994560	Other	PA	HEALTH AMERICA/HEALTH ASSURANCE
22-1994560	Other	PA	UNITED HEALTHCARE/OXFORD
22-1994560	Other	PA	PROCURA MANAGEMENT
50059325	Other	PA	CAPITAL BLUE CROSS
5738460	Other	PA	FIRST HEALTH NETWORK
P00115691	Other	PA	RAILROAD MEDICARE
22-1994560	Other	PA	FIRST MCO
30028251	Other	PA	KEYSTONE MERCY
1169169	Other	NJ	AETNA
22-1994560	Other	PA	GREAT WEST HEALTHCARE
23-2919275	Other	PA	HEALTH AMERICA/HEALTH ASSURANCE
23-2919275	Other	NJ	HORIZON BLUE CROSS BLUE SHIELD
22-1994560	Other	NJ	UNITED HEALTHCARE/OXFORD
23-2919275	Other	NJ	FIRST MCO
3801629	Other	PA	AETNA
0450856000	Other	PA	KEYSTONE HEALTH PLAN EAST
100819591	Medicaid	PA
22-1994560	Other	NJ	FIRST MCO
23-2919275	Other	NJ	UNITED H EALTHCARE/OXFORD
999332	Other	PA	UPMC HEALTH PLAN
0450856000	Other	PA	AMERIHEALTH AND KHPE
23-2919275	Other	PA	FIRST MCO
23-2919275	Other	PA	PROCURA MANAGEMENT
DD1386	Other	PA	RAILROAD MEDICARE (GROUP)
22-1994560	Other	NJ	HORIZON BLUE CROSS BLUE SHIELD
23-2919275	Other	PA	UNITED HEALTHCARE/OXFORD
23-2919275	Other	PA	GREAT WEST HEALTHCARE
30027053	Other	PA	KEYSTONE MERCY
3250679	Other	PA	AETNA
751462	Other	PA	PERSONAL CHOICE

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.