NPIMap

Individual provider Active NPI

Larry Paul Doroshow, DO

  • Family Medicine Physician
  • Phila, PA
National Provider Identifier
1396737805
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DS005305L Issued in PA
Practice address
7131 Ridge Ave
Phila, PA 19128-3251
Phone
(215) 483-2113
NPI assigned
Aug 19, 2005
Last updated
Sep 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DS005305L PA Primary

Addresses

Primary practice location

7131 Ridge Ave
Phila, PA 19128-3251

Mailing address

7131 Ridge Ave
Phila, PA 19128-3251
Phone (215) 483-2113

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
I20100628000484 PA Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Hospice/Palliative Care 9931129400 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care, Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Encompass Remote IncGroup PAC ID 7810358744, 7 clinicians
Restore First Health PennGroup PAC ID 8820435316, 8 clinicians
General Practice Associates LTDGroup PAC ID 1951399104, 2 clinicians

Practice addresses (Care Compare)

Canonsburg, PA 15317
Phone (724) 747-7849

2250 Hickory Rd
Suite 140
Plymouth Meeting, PA 19462-1047
Phone (610) 379-2904

7131 Ridge Ave
Philadelphia, PA 19128-3251
Phone (215) 483-2113

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue36
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DS005305LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Encompass Remote Inc CurrentSince Dec 20, 2023 Accepting new patients
Restore First Health Penn Family Medicine CurrentSince Dec 15, 2023 Accepting new patients
General Practice Associates LTD Family Medicine CurrentSince Jun 12, 1985 Accepting new patients
Special Care Hospice, LLC Family Medicine Past Accepting new patients
WM Operating, LLC Past Accepting new patients
Genmed LLC PastSince Oct 2, 2022 Accepting new patients

Locations

2400 Ansys Dr
Ste 102
Canonsburg, PA 15317
Phone (412) 737-0990

1633 Route 51
Ste 104
Jefferson Hills, PA 15025

9209 Ridge Pike
Lafayette Hill, PA 19444
Phone (610) 825-6560

7131 Ridge Ave
Philadelphia, PA 19128
Phone (215) 483-2113

2250 Hickory Rd
Ste 140
Plymouth Mtng, PA 19462
Phone (610) 379-2904

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: larry.doroshow.1@28696.direct.athenahealth.com
  • Direct secure messaging: larry.doroshow.p1@direct.gpa.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Compassus - Greater PhiladelphiaHamburg, PA, CCN 391649 Hospice Contracted Managing Employee Jan 1, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1396737805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 RIDGE AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191283251",
            "telephone_number": "215-483-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 RIDGE AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191283251",
            "telephone_number": "215-483-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOROSHOW",
        "first_name": "LARRY",
        "middle_name": "PAUL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "DS005305L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.