Individual provider Active NPI

Richard Ivan Plotzker, MD

  • Gastroenterology Physician
  • West Grove, PA
National Provider Identifier
1609966886
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD014709E Issued in PA
Practice address
1011 W Baltimore Pike
Suite 210
West Grove, PA 19390-9402
Phone
(610) 869-2224
Fax
(610) 869-1481
NPI assigned
Oct 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD014709E PA Primary

Addresses

Primary practice location

1011 W Baltimore Pike
Suite 210
West Grove, PA 19390-9402

Mailing address

213 Reeceville Rd
Suite 17
Coatesville, PA 19320-1573
Phone (610) 384-2021

Other identifiers 1

IdentifierTypeStateIssuer
0061181102MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD014709EPAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Gastroenterology Associates of Lancaster, LTD. Gastroenterology Past Accepting new patients
Brandywine Gastroenterology Associates LTD Gastroenterology Past Accepting new patients
Brandywine Valley Pain Control Center, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609966886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 REECEVILLE RD",
            "address_2": "SUITE 17",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201573",
            "telephone_number": "610-384-2021",
            "fax_number": "610-384-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W BALTIMORE PIKE",
            "address_2": "SUITE 210",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909402",
            "telephone_number": "610-869-2224",
            "fax_number": "610-869-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOTZKER",
        "first_name": "RICHARD",
        "middle_name": "IVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD014709E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0061181102",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Grove, PA

Sources for this page

Verify at the official NPI Registry.