Active NPI
Mark D Allan, MD
- Diagnostic Radiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD065353L
- Practice address
- 2301 S Broad St
2ND Floor
Philadelphia, PA 19148-3542 - Phone
- (215) 952-9148
- Fax
- (215) 952-9965
- NPI assigned
- Jun 9, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD065353L | PA | Primary |
Addresses
Primary practice location
2301 S Broad St
2ND Floor
Philadelphia, PA 19148-3542
Mailing address
2301 S Broad St
2ND Floor
Philadelphia, PA 19148-3542
Phone (215) 952-9148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090716000410 | PA | Practitioner - Diagnostic Radiology | 9638221070 | Reassigns benefits to 1 organization |
| I20190717000913 | MD | Practitioner - Diagnostic Radiology | 9638221070 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Missouri, Columbia School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Union Hospital of Cecil CountyPrecision Diagnostic Radiology LLC
Practice addresses (Care Compare)
106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000
30 McMullens Wharf
Perryville, MD 21903-2737
Phone (215) 483-9900
Hospital & facility affiliations
- Union Hospital of Cecil County
- Roxborough Memorial Hospital
- Christiana Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD065353L | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open MRI & Imaging Center of Elkton,LLC | Diagnostic Radiology | Current | Accepting new patients |
| Union Hospital of Cecil County | Diagnostic Radiology | Current | Accepting new patients |
| Union Hospital of Cecil County | Current | Accepting new patients | |
| Union Hospital of Cecil County | Current | Accepting new patients | |
| Precision Diagnostic Radiology LLC | Diagnostic Radiology | Current | Accepting new patients |
| Jefferson University Physicians | Diagnostic Radiology | Current | Accepting new patients |
| Union Hospital of Cecil County | Diagnostic Radiology | Current | Accepting new patients |
Locations
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
106 Bow St
Ofc
Elkton, MD 21921
2301 S Broad St
Fl 2
Philadelphia, PA 19148
Phone (215) 952-9148
2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175
5800 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-4334
701 E Cathedral Rd
Ste 11
Philadelphia, PA 19128
Phone (267) 766-6321
2301 S Broad St
Philadelphia, PA 19148
Phone (215) 952-9000
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
Organizations & group practices 8
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.
-
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1558053181
Diagnostic Radiology, MD
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
Diagnostic Radiology, PA
-
- Radiology Clinic/Center
- Elkton, MD
- NPI 1609961390
Diagnostic Radiology
-
- Radiology Clinic/Center
- Perryville, MD
- NPI 1922246206
Diagnostic Radiology
-
- General Acute Care Hospital
- Elkton, MD
- NPI 1376523357
-
- Radiology Clinic/Center
- Elkton, MD
- NPI 1598702870
Diagnostic Radiology
-
- Psychiatry Physician
- Elkton, MD
- NPI 1689978751
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1083986129
Hospital
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318204800000",
"number": "1477594463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 S BROAD ST",
"address_2": "2ND FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191483542",
"telephone_number": "215-952-9148",
"fax_number": "215-952-9965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 S BROAD ST",
"address_2": "2ND FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191483542",
"telephone_number": "215-952-9148",
"fax_number": "215-952-9965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLAN",
"first_name": "MARK",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2011-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD065353L",
"primary": true
}
],
"identifiers": [],
"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 Oct 10, 2011; 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.