Active NPI
Avrum N. Pollock, MD
- Pediatric Radiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- MD049304L
- Practice address
- 3401 Civic Center Blvd
Children'S Hospital of Philadelphia - Radiology
Philadelphia, PA 19104-4319 - Phone
- (215) 590-7000
- Fax
- (215) 590-9348
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | MD049304L | PA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | MD049304L | PA |
Addresses
Primary practice location
3401 Civic Center Blvd
Children'S Hospital of Philadelphia - Radiology
Philadelphia, PA 19104-4319
Mailing address
34TH & Civic Center Boulevard
Philadelphia, PA 19104
Phone (267) 425-9232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015923450006 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110211000841 | PA | Practitioner - Diagnostic Radiology | 9931391869 | Reassigns benefits to 4 organizations |
| I20140809000006 | NJ | Practitioner - Diagnostic Radiology | 9931391869 | Reassigns benefits to 1 organization |
| I20170421001867 | NY | Practitioner - Diagnostic Radiology | 9931391869 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fpa Hospital Based | Diagnostic Radiology | Current | Accepting new patients |
| Fpa Hospital Based | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health Syst | Diagnostic Radiology | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Diagnostic Radiology | Current | Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Childrens Health Care Associates of New Jersey PC | Past | Accepting new patients |
Locations
1176 5th Ave
New York, NY 10029
Phone (212) 241-6237
1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806
100 N Academy Ave
Danville, PA 17822
3737 Market St
Philadelphia, PA 19104
Phone (215) 294-9393
3551 N Broad St
Philadelphia, PA 19140
Phone (215) 430-4000
250 King of Prussia Rd
Radnor, PA 19087
Phone (610) 902-1800
777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775
Organizations & group practices 16
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.
-
- Pediatric Radiology Physician
- Philadelphia, PA
- NPI 1467403261
NJ
-
- Internal Medicine Physician
- Radnor, PA
- NPI 1972682995
PA
-
- Pediatric Orthopaedic Surgery Physician
- Philadelphia, PA
- NPI 1659615706
PA
-
- Psychologist
- West Chester, PA
- NPI 1649940107
-
- Urgent Care Clinic/Center
- Philadelphia, PA
- NPI 1508380452
Diagnostic Radiology
-
- Clinic/Center
- Doylestown, PA
- NPI 1033879713
-
- Maternal & Fetal Medicine Physician
- Philadelphia, PA
- NPI 1326436437
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Radiology Associates of Children'S Hospital, Inc
Practice addresses (Care Compare)
100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 325-3000
3401 Civic Ctr Blvd
Philadelphia, PA 19104-4319
Phone (267) 425-9505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1194776591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34TH & CIVIC CENTER BOULEVARD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "267-425-9232",
"fax_number": "267-425-9299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 CIVIC CENTER BLVD",
"address_2": "CHILDREN'S HOSPITAL OF PHILADELPHIA - RADIOLOGY",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044319",
"telephone_number": "215-590-7000",
"fax_number": "215-590-9348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLOCK",
"first_name": "AVRUM",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "PA",
"license": "MD049304L",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD049304L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015923450006",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.