Active NPI
George Dakwar, M.D.
- Urology Physician
- Media, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD437754
- Practice address
- 200 State Street
Suite 205
Media, PA 19063-3434 - Phone
- (610) 521-4112
- Fax
- (610) 521-6864
- NPI assigned
- May 17, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD437754 | PA | Primary |
Addresses
Primary practice location
200 State Street
Suite 205
Media, PA 19063-3434
Mailing address
PO Box 95000-3505
Phila, PA 19195-0001
Phone (610) 382-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1025084740001 | Medicaid | PA |
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 |
|---|---|---|---|---|
| I20091009000199 | PA | Practitioner - Urology | 0648316398 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Rutgers New Jersey Medical School, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Evergreen Dr G5 Garden Te
Academic Urology Crozer
Glen Mills, PA 19342-1032
Phone (610) 579-3577
Hospital & facility affiliations
- Riddle Memorial Hospital
- Bryn Mawr Hospital
- Main Line Hospital Lankenau
- Chester County Hospital
- Christiana Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD437754 | PA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physician Services, PC / Dba Midlantic Urology | Urology | Current | Accepting new patients |
| Alliance Physician Services, PC | Urology | Current | Accepting new patients |
| Alliance Physician Services, PC | Urology | Current | Accepting new patients |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients |
Locations
30 Lawrence Rd
Ste 700
Broomall, PA 19008
Phone (484) 446-3660
919 Conestoga Rd
Bldg 1
Bryn Mawr, PA 19010
Phone (610) 525-6400
1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744
500 Evergreen Dr
Ste G5
Glen Mills, PA 19342
Phone (610) 566-4383
100 Maris Grove Way
Glen Mills, PA 19342
Phone (610) 387-4520
211 S Gulph Rd
Ste 200
Kng of Prussa, PA 19406
Phone (610) 382-5910
200 E State St
Ste 205
Media, PA 19063
Phone (610) 521-4112
200 E State St
Media, PA 19063
Phone (610) 565-2776
100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281
656 E Swedesford Rd
Ste 120
Wayne, PA 19087
Phone (610) 273-5320
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 and National Provider Directory roles.
-
- Urology Physician
- King of Prussia, PA
- NPI 1811351083
Urology
-
- Diagnostic Radiology Physician
- Chester, PA
- NPI 1154776797
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453248000000",
"number": "1366609448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95000-3505",
"city": "PHILA",
"state": "PA",
"postal_code": "191950001",
"telephone_number": "610-382-5900",
"fax_number": "610-382-5918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 STATE STREET",
"address_2": "SUITE 205",
"city": "MEDIA",
"state": "PA",
"postal_code": "190633434",
"telephone_number": "610-521-4112",
"fax_number": "610-521-6864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAKWAR",
"first_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-17",
"last_updated": "2016-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "MD437754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1025084740001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.