Active NPI
Ross Podell, M.D., P.C.
- Internal Medicine Physician
- Paoli, PA
National Provider Identifier
1528259637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD066922L
- Legal business name
- ROSS PODELL, M.D., P.C.
- Practice address
- 250 W Lancaster Ave
Suite 200
Paoli, PA 19301-1751 - Phone
- (610) 889-7530
- Fax
- (610) 889-7531
- NPI assigned
- Aug 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ross D. Podell, M.D.
- Title
- Physician
- Phone
- (610) 889-7530
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD066922L | PA | Primary |
Addresses
Primary practice location
250 W Lancaster Ave
Suite 200
Paoli, PA 19301-1751
Mailing address
250 West Lancaster Avenue
Suite 200
Paoli, PA 19301-1751
Phone (610) 889-7530
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2008792001 | Other | PA | INDEPENDENCE BLUE CROSS |
| 1315429 | Other | PA | HIGHMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
250 W Lancaster Ave
Ste 200
Paoli, PA 19301
Phone (610) 296-1300
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Paoli, PA
- NPI 1285663187
-
- Primary Care Nurse Practitioner
- Paoli, PA
- NPI 1831851013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194998400000",
"number": "1528259637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 WEST LANCASTER AVENUE",
"address_2": "SUITE 200",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011751",
"telephone_number": "610-889-7530",
"fax_number": "610-889-7531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 W LANCASTER AVE",
"address_2": "SUITE 200",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011751",
"telephone_number": "610-889-7530",
"fax_number": "610-889-7531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSS PODELL, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-05",
"last_updated": "2007-11-14",
"status": "A",
"authorized_official_last_name": "PODELL",
"authorized_official_first_name": "ROSS",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "610-889-7530",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD066922L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "2008792001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1315429",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.