Organization Active NPI

Richard M. Sobel M.D. LLC

  • Psychiatry Physician
  • Media, PA
National Provider Identifier
1215136395
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD035260E Issued in PA
Legal business name
RICHARD M. SOBEL M.D. LLC
Practice address
1245 N Providence Rd
Media, PA 19063-1210
Phone
(215) 731-1901
Fax
(215) 731-9503
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Richard M SobelNPI 1700808003
Title
Owner
Phone
(215) 731-1901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD035260E PA Primary

Addresses

Primary practice location

1245 N Providence Rd
Media, PA 19063-1210

Mailing address

5565 N Barrasca Ave
Tucson, AZ 85750-6495
Phone (215) 731-1901

Other identifiers 1

IdentifierTypeStateIssuer
1700808003OtherPANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080122000036 PA Part B Supplier - Clinic/Group Practice 9234210881 Receives reassigned benefits from 1 practitioner
Practice locations: Media, PA

National Provider Directory

National Provider Directory

Locations

6890 E Sunrise Dr
#120363
Tucson, AZ 85750

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1215136395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 N BARRASCA AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857506495",
            "telephone_number": "215-731-1901",
            "fax_number": "215-731-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 N PROVIDENCE RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631210",
            "telephone_number": "215-731-1901",
            "fax_number": "215-731-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD M. SOBEL M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "SOBEL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-731-1901"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD035260E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1700808003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.