NPIMap

Individual provider Active NPI

Edward C Cikowski, DO

  • Internal Medicine Physician
  • Springfield, PA
National Provider Identifier
1366462434
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS007255L Issued in PA
Practice address
965 Baltimore Pike
Suite 2B
Springfield, PA 19064-3997
Phone
(484) 573-5116
Fax
(484) 573-5122
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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 OS007255L PA Primary

Addresses

Primary practice location

965 Baltimore Pike
Suite 2B
Springfield, PA 19064-3997

Mailing address

965 Baltimore Pike
Suite 2B
Springfield, PA 19064-3997
Phone (484) 573-5116

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
I20080103000026 PA Practitioner - Internal Medicine 4385540624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

201 2ND Ave
Collegeville, PA 19426-3613
Phone (610) 489-7703

3001 Garrett Rd
C
Drexel Hill, PA 19026-2201
Phone (610) 626-0111

830 Old Lancaster Rd
Bryn Mawr, PA 19010-3118

Hospital & facility affiliations

  • Main Line Health Home Care & Hospice - Home Health Home health agency, Radnor, PA, CCN 397012
  • Mercy Home Health Home health agency, Newtown, PA, CCN 397015
  • Penn Medicine Home Health Home health agency, Bala Cynwyd, PA, CCN 397125
  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195
  • Mercy Catholic Medical Center- Mercy Fitzgerald Hospital, Darby, PA, CCN 390156
  • Riddle Memorial Hospital Hospital, Media, PA, CCN 390222
  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153
  • Little Flower Manor Nursing home, Darby, PA, CCN 395821

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare Internal Medicine CurrentSince Dec 1, 2009 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Internal Medicine Associates of Delaware County PC Internal Medicine PastSince Nov 20, 2003 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

3001 Garrett Rd
Ste C
Drexel Hill, PA 19026
Phone (610) 626-0111

965 Baltimore Pike
Ste B2
Springfield, PA 19064
Phone (484) 479-2600

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.

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1366462434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 BALTIMORE PIKE",
            "address_2": "SUITE 2B",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643997",
            "telephone_number": "484-573-5116",
            "fax_number": "484-573-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 BALTIMORE PIKE",
            "address_2": "SUITE 2B",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643997",
            "telephone_number": "484-573-5116",
            "fax_number": "484-573-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIKOWSKI",
        "first_name": "EDWARD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS007255L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

Verify at the official NPI Registry.