Active NPI
Karin Flynn-Rodden, MD
- Allergy & Immunology (Internal Medicine) Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- License
- MD037839E
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18348 | Other | NJ | AETNA |
| 2303818000 | Other | NJ | HMO KEYS |
| 0423341000 | Other | PA | KEYSTONE |
| 047950 | Other | PA | AETNA |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05399500 | NJ | MD | Allergy & Immunology (Internal Medicine) Physician |
| MD037839E | PA | MD | Allergy & Immunology (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asthma and Allergy Associates PC | Current | Accepting new patients | |
| Thomas E Klein MD PC | Current | Accepting new patients | |
| Richard C Bradley, DPM, PC | Past | 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.
-
- Allergy & Immunology Physician
- Glen Mills, PA
- NPI 1891860250
-
- Allergy Physician
- Havertown, PA
- NPI 1619994274
-
- Foot & Ankle Surgery Podiatrist
- Turnersville, NJ
- NPI 1275702284
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.