Individual provider Active NPI

Ross D Podell, MD

  • Internal Medicine Physician
  • Paoli, PA
National Provider Identifier
1285663187
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD 066922L Issued in PA
Practice address
250 West Lancaster Ave
Suite 200
Paoli, PA 19301-1751
Phone
(610) 889-7530
Fax
(610) 889-7531
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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 MD 066922L PA Primary

Addresses

Primary practice location

250 West Lancaster Ave
Suite 200
Paoli, PA 19301-1751

Mailing address

250 West Lancaster Avenue
Suite 200
Paoli, PA 19301-1751
Phone (610) 889-7530

Other identifiers 7

IdentifierTypeStateIssuer
276714OtherPAHIGHMARK BLUE SHIELD
2008792001OtherKEYSTONE
261296OtherAETNA
0565534000OtherPAINDEPENDENCE BLUE CROSS
110227133OtherRR MCR
8118648004OtherCIGNA
133024OtherAETNA HMO

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
I20071029000589 PA Practitioner - Internal Medicine 3971690553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Hahnemann University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

250 W Lancaster Ave
Suite 200
Paoli, PA 19301-1751
Phone (610) 889-7530

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 066922LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ross Podell, M.D., P.C. Internal Medicine CurrentSince Oct 1, 2007 Accepting new patients
Advocare , LLC Internal Medicine CurrentSince Nov 24, 2019 Accepting new patients

Locations

250 W Lancaster Ave
Ste 200
Paoli, PA 19301
Phone (610) 296-1300

Interoperability endpoints

  • Direct secure messaging: ross.podell.1@33383.direct.athenahealth.com

Organizations & group practices 2

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 7

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1285663187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 WEST LANCASTER AVENUE",
            "address_2": "SUITE 200",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011751",
            "telephone_number": "610-889-7530",
            "fax_number": "610-889-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WEST LANCASTER AVE",
            "address_2": "SUITE 200",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011751",
            "telephone_number": "610-889-7530",
            "fax_number": "610-889-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODELL",
        "first_name": "ROSS",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD 066922L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "276714",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2008792001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "261296",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0565534000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "110227133",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8118648004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "133024",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.