Active NPI
Richard Yelovich, MD
- Radiation Oncology Physician
- Exton, PA
National Provider Identifier
1407856628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD027613E
- Practice address
- 470 John Young Way
Exton, PA 19341-2557 - Phone
- (610) 524-5550
- Fax
- (610) 524-5546
- NPI assigned
- Jul 29, 2005
- Last updated
- Jun 1, 2015
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD027613E | PA | Primary |
Addresses
Primary practice location
470 John Young Way
Exton, PA 19341-2557
Mailing address
PO Box 30560
Los Angeles, CA 90030-0560
Phone (610) 524-5550
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 920005183 | Other | RR MEDICARE | |
| 0010945490013 | Medicaid | PA | |
| 0010945490002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD027613E | PA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Radiation Oncology PC | Radiation Oncology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Radiation Oncology Physician
- Exton, PA
- NPI 1225010234
-
- Radiation Oncology Physician
- Wynnewood, PA
- NPI 1962402172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433116800000",
"number": "1407856628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30560",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900300560",
"telephone_number": "610-524-5550",
"fax_number": "610-524-5546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 JOHN YOUNG WAY",
"city": "EXTON",
"state": "PA",
"postal_code": "193412557",
"telephone_number": "610-524-5550",
"fax_number": "610-524-5546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YELOVICH",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2015-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "PA",
"license": "MD027613E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "920005183",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010945490013",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010945490002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Exton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.