Active NPI
Genevieve M. Skalak, D.O.
- Hospitalist Physician
- Norristown, PA
National Provider Identifier
1356518468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- OS014167
- Practice address
- 2705 Dekalb Pike
Suite 309
Norristown, PA 19401-1874 - Phone
- (610) 275-0200
- NPI assigned
- May 8, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS014167 | PA | |
| Hospitalist Physician | 208M00000X | OS014167 | PA | Primary |
Addresses
Primary practice location
2705 Dekalb Pike
Suite 309
Norristown, PA 19401-1874
Mailing address
1 W Elm St
Suite 100
Conshohocken, PA 19428-4108
Phone (610) 567-6967
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9269342 | Other | AETNA | |
| P00745518 | Other | RAILROAD MEDICARE | |
| SK2106495 | Other | BLUE SHIELD | |
| 1023225990001 | Medicaid | PA | |
| 30065304 | Other | KEYSTONE MERCY | |
| 3718325000 | Other | IBC/KHPE |
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS014167 | PA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients |
Locations
1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100
2701 Holme Ave
Ste 100
Philadelphia, PA 19152
Phone (215) 335-3972
2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000
Interoperability endpoints
- gskalak2015415@direct.trinity-health.org
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439251200000",
"number": "1356518468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 W ELM ST",
"address_2": "SUITE 100",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194284108",
"telephone_number": "610-567-6967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2705 DEKALB PIKE",
"address_2": "SUITE 309",
"city": "NORRISTOWN",
"state": "PA",
"postal_code": "194011874",
"telephone_number": "610-275-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKALAK",
"first_name": "GENEVIEVE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-08",
"last_updated": "2015-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS014167",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "OS014167",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9269342",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00745518",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "SK2106495",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023225990001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "30065304",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC/KHPE",
"identifier": "3718325000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norristown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.