Active NPI
Alicia Anne Boellner-Kahn, M.D.
- Pediatrics Physician
- Plymouth Meeting, PA
National Provider Identifier
1336188465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD051015L
- Practice address
- 3031 Walton Rd
C101
Plymouth Meeting, PA 19462-2369 - Phone
- (610) 825-3500
- Fax
- (610) 825-8502
- NPI assigned
- Jun 5, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD051015L | PA | Primary |
Addresses
Primary practice location
3031 Walton Rd
C101
Plymouth Meeting, PA 19462-2369
Mailing address
3031 Walton Rd
C101
Plymouth Meeting, PA 19462-2369
Phone (610) 825-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014630250004 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD051015L | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True North Medical Group, LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1336188465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 WALTON RD",
"address_2": "C101",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194622369",
"telephone_number": "610-825-3500",
"fax_number": "610-825-8502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 WALTON RD",
"address_2": "C101",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194622369",
"telephone_number": "610-825-3500",
"fax_number": "610-825-8502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOELLNER-KAHN",
"first_name": "ALICIA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD051015L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014630250004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.