Individual provider Active NPI

Richard M. Oller, DPM

  • Foot Surgery Podiatrist
  • Media, PA
National Provider Identifier
1487634978
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SC002111L Issued in PA
Practice address
136 E Baltimore Ave
Media, PA 19063-3428
Phone
(610) 565-3377
Fax
(610) 565-5351
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X SC002111L PA Primary

Addresses

Primary practice location

136 E Baltimore Ave
Media, PA 19063-3428

Mailing address

136 E Baltimore Ave
Media, PA 19063-3428
Phone (610) 565-3377

Other identifiers 2

IdentifierTypeStateIssuer
480000978OtherPARAILROAD MEDICARE
0032744000OtherPABLUE SHIELD ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100311000388 PA Practitioner - Podiatry 2860537149 Practice locations: Media, PA
O20100930093465 PA DME Supplier - Physician - Podiatry 1658416938 Practice locations: Media, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

136 E Baltimore Ave
Media, PA 19063-3428
Phone (610) 565-3377

Hospital & facility affiliations

  • Riddle Memorial Hospital Hospital, Media, PA, CCN 390222
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue97
Removal of skin lesions54
Removal of nail tissue1875
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC002111LPAMDFoot Surgery Podiatrist

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1487634978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 E BALTIMORE AVE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633428",
            "telephone_number": "610-565-3377",
            "fax_number": "610-565-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E BALTIMORE AVE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633428",
            "telephone_number": "610-565-3377",
            "fax_number": "610-565-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLER",
        "first_name": "RICHARD",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC002111L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480000978",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID",
            "identifier": "0032744000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.