Individual provider Active NPI

David K Stricklan, MD

  • Internal Medicine Physician
  • Phila, PA
National Provider Identifier
1184785354
Registry record updated Dec 20, 2013
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(14) exclusion effective Apr 19, 2018.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD049630-L Issued in PA
Practice address
5201 Wynnefield Ave
Phila, PA 19131-2440
Phone
(215) 878-7100
Fax
(215) 878-1871
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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 MD049630-L PA Primary

Addresses

Primary practice location

5201 Wynnefield Ave
Phila, PA 19131-2440

Mailing address

5201 Wynnefield Ave
Suite G-4
Phila, PA 19131-2456
Phone (215) 878-7100

Other identifiers 2

IdentifierTypeStateIssuer
0141388304MedicaidPA
123082OtherPABLUE CROSS

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD049630-LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Home Health Agency Inc PastSince Mar 22, 2020 Accepting new patients

Organizations & group practices 1

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1184785354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 WYNNEFIELD AVE",
            "address_2": "SUITE G-4",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191312456",
            "telephone_number": "215-878-7100",
            "fax_number": "215-878-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 WYNNEFIELD AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191312440",
            "telephone_number": "215-878-7100",
            "fax_number": "215-878-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICKLAN",
        "first_name": "DAVID",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD049630-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141388304",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "123082",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.