Individual provider Active NPI

Randolph Yucha, DC

  • Chiropractor
  • Pottstown, PA
National Provider Identifier
1376695874
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004228L Issued in PA
Practice address
435 W Cedarville Rd
Pottstown, PA 19465-7401
Phone
(610) 326-2706
Fax
(610) 327-4324
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC004228L PA Primary

Addresses

Primary practice location

435 W Cedarville Rd
Pottstown, PA 19465-7401

Mailing address

435 W Cedarville Rd
Pottstown, PA 19465-7401
Phone (610) 326-2706

Other identifiers 4

IdentifierTypeStateIssuer
2118547000OtherPAIBC
5002130OtherPACAPITAL BLUE CROSS
741525OtherPAAETNA
1433992OtherPAHIGHMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051214000341 PA Practitioner - ChiropracticPractitioner - Other (Physician) 1153342407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Randolph E. Yucha DC PCGroup PAC ID 8123049467, 2 clinicians

Practice addresses (Care Compare)

435 W Cedarville Rd
Pottstown, PA 19465-7406
Phone (610) 326-2706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yucha Medical Pain Management and Chiropractic Rehabilitation, LLC Chiropractor CurrentSince Jan 20, 2016 Accepting new patients
Randolph E. Yucha D.C., P.C. Chiropractor CurrentSince Jul 1, 1990 Accepting new patients
Healthfirst Chiropractic & Wellness, Inc. Chiropractor PastSince Mar 5, 2010 Accepting new patients

Locations

435 W Cedarville Rd
Pottstown, PA 19465
Phone (610) 326-2706

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1376695874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 W CEDARVILLE RD",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194657401",
            "telephone_number": "610-326-2706",
            "fax_number": "610-327-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 W CEDARVILLE RD",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194657401",
            "telephone_number": "610-326-2706",
            "fax_number": "610-327-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUCHA",
        "first_name": "RANDOLPH",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004228L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2118547000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "5002130",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "741525",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1433992",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.