NPIMap

Individual provider Active NPI

Richard S Mandel, D.O.

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1346271244
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0S009504L Issued in PA
Practice address
2981 Grant Ave
Philadelphia, PA 19114-1024
Phone
(215) 632-4551
NPI assigned
Jul 6, 2006
Last updated
Apr 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0S009504L PA Primary

Addresses

Primary practice location

2981 Grant Ave
Philadelphia, PA 19114-1024

Mailing address

2981 Grant Ave
Philadelphia, PA 19114-1024
Phone (215) 632-4550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050502000690 PA Practitioner - Family Practice 7012956741 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Physicians Group LLCGroup PAC ID 2769631621, 31 clinicians

Practice addresses (Care Compare)

339 E St Rd
Stoltz and Hahn Medical Associates
Trevose, PA 19053
Phone (215) 464-4111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Physicians Group LLC Family Medicine CurrentSince Nov 1, 2012 Accepting new patients
Buxmont Medical Associates, PC Family Medicine CurrentSince Jun 30, 2003 Accepting new patients
Inner Circle Consulting, Inc. Past Accepting new patients
Dr Stuart K Himmelstein DC PC Past Accepting new patients
Ear,Nose, and Throat and Allergy Associates, PC Past Accepting new patients

Locations

2981 Grant Ave
Philadelphia, PA 19114
Phone (215) 632-3074

5363 Oxford Ave
Philadelphia, PA 19124
Phone (215) 288-0707

339 E Street Rd
Trevose, PA 19053
Phone (215) 464-4111

847 Easton Rd
Ste 2500
Warrington, PA 18976
Phone (215) 918-5555

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: richardmandel@ppg-pa.direct.office.nextgen.com
  • Direct secure messaging: richardmandel@ppgdrm-pa.direct.office.nextgen.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1346271244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2981 GRANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141024",
            "telephone_number": "215-632-4550",
            "fax_number": "215-632-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2981 GRANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141024",
            "telephone_number": "215-632-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDEL",
        "first_name": "RICHARD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "0S009504L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.