Organization Active NPI

Ross Podell, M.D., P.C.

  • Internal Medicine Physician
  • Paoli, PA
National Provider Identifier
1528259637
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD066922L Issued in PA
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

Updated by the provider on Nov 14, 2007

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.NPI 1285663187
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2008792001OtherPAINDEPENDENCE BLUE CROSS
1315429OtherPAHIGHMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071101000377 PA Part B Supplier - Clinic/Group Practice 8426145822 Receives reassigned benefits from 1 practitioner
Practice locations: Paoli, PA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.