Individual provider Active NPI

Rodney M. Elkin, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1376580506
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD030635E Issued in PA
Practice address
5401 Old York Rd Ste 300
Philadelphia, PA 19141-3045
Phone
(215) 456-8608
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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 MD030635E PA Primary

Addresses

Primary practice location

5401 Old York Rd Ste 300
Philadelphia, PA 19141-3045

Mailing address

101 E Olney Ave Ste 400
Philadelphia, PA 19120-2470
Phone (215) 456-7000

Other practice location 1

1440 Conchester Hwy
Suite 5A
Boothwyn, PA 19061-2124
Phone (610) 459-3722

Other identifiers 1

IdentifierTypeStateIssuer
106146801MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110815000777 PA Practitioner - Geriatric MedicinePractitioner - Internal Medicine 4789866625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Perelman School of Med at the University of Pennsylvania, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

5501 Old York Rd
Phila, PA 19141-3018
Phone (215) 456-9850

Hospital & facility affiliations

  • Accentcare Health of Pennsylvania Home health agency, Bristol, PA, CCN 397472
  • Mercy Home Health Home health agency, Newtown, PA, CCN 397015
  • Keystone Hospice Hospice, Wyndmoor, PA, CCN 391593
  • Holy Redeemer Hospice - PA Hospice, Philadelphia, PA, CCN 391514
  • Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142
  • Wesley Enhanced Living Pennypack Park Nursing home, Philadelphia, PA, CCN 395413
  • Sterling Health Care and Rehab Center Nursing home, Media, PA, CCN 396083

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc Current Accepting new patients
Einstein Practice Plan Inc CurrentSince Feb 1, 2022 Accepting new patients
Einstein Practice Plan Inc CurrentSince Feb 1, 2022 Accepting new patients
Evangelical Manor Past Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients

Locations

5401 Old York Rd
Ste 331
Philadelphia, PA 19141
Phone (215) 456-6948

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

1200 W Tabor Rd
Ste 141
Philadelphia, PA 19141
Phone (215) 456-9142

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

8556 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 333-3500

5401 Old York Rd
Ste 300
Philadelphia, PA 19141
Phone (215) 456-6950

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.

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1376580506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVE STE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202470",
            "telephone_number": "215-456-7000",
            "fax_number": "610-459-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 OLD YORK RD STE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413045",
            "telephone_number": "215-456-8608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1440 Conchester Hwy",
            "address_2": "Suite 5A",
            "address_purpose": "LOCATION",
            "city": "Boothwyn",
            "state": "PA",
            "postal_code": "190612124",
            "country_code": "US",
            "telephone_number": "610-459-3722",
            "fax_number": "610-459-4730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELKIN",
        "first_name": "RODNEY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD030635E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106146801",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.