Active NPI
Ronald Anthony Codario Sr., M.D.
- Cardiovascular Disease Physician
- Philadelphia, PA
National Provider Identifier
1295892107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD015340-E
- Practice address
- 2511 S Broad St
Philadelphia, PA 19148-4309 - Phone
- (215) 467-3883
- Fax
- (215) 467-2911
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD015340-E | PA | Primary |
Addresses
Primary practice location
2511 S Broad St
Philadelphia, PA 19148-4309
Mailing address
2511 S Broad St
Philadelphia, PA 19148-4309
Phone (215) 467-3883
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0055123000 | Other | PA | BLUE SHIELD PERS CHOICE |
| 0055123000 | Other | PA | PA BLUE SHIELD |
| 0076334003 | Other | PA | AMERICHOICE OF PA |
| 1039424 | Other | PA | KEYSTONE MERCY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120228000695 | PA | Practitioner - Internal Medicine | 4587822135 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD015340-E | PA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stang Medical Services LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2511 S Broad St
Philadelphia, PA 19148
Phone (215) 467-3883
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.
-
- Sonography Specialist/Technologist Cardiovascular
- Philadelphia, PA
- NPI 1457884546
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1295892107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2511 S BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191484309",
"telephone_number": "215-467-3883",
"fax_number": "215-467-2911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2511 S BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191484309",
"telephone_number": "215-467-3883",
"fax_number": "215-467-2911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CODARIO",
"first_name": "RONALD",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD015340-E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PERS CHOICE",
"identifier": "0055123000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BLUE SHIELD",
"identifier": "0055123000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE OF PA",
"identifier": "0076334003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "1039424",
"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 Jul 9, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.