Individual provider Active NPI

Gregory Jon Nadolski II, MD

  • Vascular & Interventional Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1215127337
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD438060 Issued in PA
Practice address
3400 Spruce St
1 Silverstein
Philadelphia, PA 19104-4206
Phone
(215) 662-3005
NPI assigned
Jul 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD438060 PA
Vascular & Interventional Radiology Physician 2085R0204X MD438060 PA Primary

Addresses

Primary practice location

3400 Spruce St
1 Silverstein
Philadelphia, PA 19104-4206

Mailing address

3400 Spruce St
1 Silverstein
Philadelphia, PA 19104-4206
Phone (215) 662-3005

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
I20101209001306 PA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 0547457053 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Indiana University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

2301 S Broad St
Philadelphia, PA 19148-3542

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-3000

380 N Oxford Valley Rd
Langhorne, PA 19047-8304
Phone (215) 949-5111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD438060PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. Current Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Mar 11, 2019 Accepting new patients
Guthrie Medical Group, P.C. Diagnostic Radiology CurrentSince Mar 11, 2019 Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Apr 22, 2020 Accepting new patients
Methodist Associates in Healthcare, Inc. CurrentSince Apr 22, 2020 Accepting new patients
Methodist Associates in Healthcare, Inc Diagnostic Radiology Current Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Trustees of the University of Pennsylvania Past Accepting new patients

Locations

1001 Chesterbrook Blvd
Ste 100
Berwyn, PA 19312
Phone (610) 576-7500

402 McFarlan Rd
Ste 201
Kennett Square, PA 19348
Phone (610) 444-2665

491 Allendale Rd
Ste 104
Kng of Prussa, PA 19406
Phone (215) 860-3360

11 Friends Ln
Ste 101
Newtown, PA 18940
Phone (215) 579-1300

250 W Lancaster Ave
Ste 180
Paoli, PA 19301
Phone (610) 644-0477

3400 Spruce St
Fl 1
Philadelphia, PA 19104
Phone (215) 662-3005

3737 Market St
Fl 7
Philadelphia, PA 19104

3737 Market St
Fl 8
Philadelphia, PA 19104
Phone (215) 662-4333

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

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

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

1840 South St
Ste 3
Philadelphia, PA 19146
Phone (215) 546-1893

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

250 King of Prussia Rd
Ste 3
Radnor, PA 19087
Phone (610) 902-1800

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

420 W Linfield Trappe Rd
Bldg A
Royersford, PA 19468

420 W Linfield Trappe Rd
Royersford, PA 19468
Phone (610) 279-8686

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

455 Woodview Rd
West Grove, PA 19390
Phone (610) 345-1960

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

777 Township Line Rd
Ste 150
Yardley, PA 19067
Phone (215) 860-3360

Organizations & group practices 11

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 5

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1215127337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "1 SILVERSTEIN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-662-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "1 SILVERSTEIN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-662-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADOLSKI",
        "first_name": "GREGORY",
        "middle_name": "JON",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD438060",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD438060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.