Individual provider Active NPI

Karin Flynn-Rodden, MD

  • Allergy & Immunology (Internal Medicine) Physician
  • Philadelphia, PA
National Provider Identifier
1467494096
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
MD037839E Issued in PA
Practice address
1629 S Broad St
Philadelphia, PA 19148
Phone
(215) 467-7318
Fax
(215) 467-7318
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 25MA05399500 NJ
Allergy & Immunology (Internal Medicine) Physician 207RA0201X MD037839E PA Primary

Addresses

Primary practice location

1629 S Broad St
Philadelphia, PA 19148

Mailing address

1629 S Broad St
Philadelphia, PA 19148
Phone (215) 467-7360

Other identifiers 4

IdentifierTypeStateIssuer
18348OtherNJAETNA
2303818000OtherNJHMO KEYS
0423341000OtherPAKEYSTONE
047950OtherPAAETNA

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
I20110106000972 PA Practitioner - Allergy/Immunology 9739378787 Reassigns benefits to 2 organizations
Practice locations: Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Jefferson Medical College of Thomas Jefferson University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asthma and Allergy Associates PCGroup PAC ID 2062491129, 4 clinicians

Practice addresses (Care Compare)

1536 McDaniel Dr
West Chester, PA 19380-7034
Phone (610) 431-1816

1629 S Broad St
Philadelphia, PA 19148-1003
Phone (215) 467-7360

300 Evergreen Dr
Suite 180
Glen Mills, PA 19342-1079

300 Evergreen Dr
Suite 180
Glen Mills, PA 19380-0010
Phone (610) 579-3610

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05399500NJMDAllergy & Immunology (Internal Medicine) Physician
MD037839EPAMDAllergy & Immunology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma and Allergy Associates PC CurrentSince May 1, 2018 Accepting new patients
Thomas E Klein MD PC CurrentSince Aug 15, 2020 Accepting new patients
Richard C Bradley, DPM, PC PastSince Jan 23, 2008 Accepting new patients

Locations

300 Evergreen Dr
Ste 180
Glen Mills, PA 19342
Phone (610) 579-3610

400 W Township Line Rd
Havertown, PA 19083
Phone (610) 789-1313

1536 McDaniel Dr
West Chester, PA 19380
Phone (610) 431-1816

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467494096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19148",
            "telephone_number": "215-467-7360",
            "fax_number": "215-467-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19148",
            "telephone_number": "215-467-7318",
            "fax_number": "215-467-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN-RODDEN",
        "first_name": "KARIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NJ",
            "license": "25MA05399500",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "PA",
            "license": "MD037839E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "18348",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO KEYS",
            "identifier": "2303818000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0423341000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "047950",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.