Individual provider Active NPI

Richard A Strulson, D.O

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1639118938
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS003888L Issued in PA
Practice address
3152 Princeton Ave
Philadelphia, PA 19149-1522
Phone
(215) 624-0956
Fax
(215) 624-3867
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS003888L PA Primary

Addresses

Primary practice location

3152 Princeton Ave
Philadelphia, PA 19149-1522

Mailing address

3152 Princeton Ave
Philadelphia, PA 19149-1522
Phone (215) 624-0956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928000586 PA Practitioner - Family Practice 3971629981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3152 Princeton Ave
Phila, PA 19149-1519
Phone (201) 624-0956

Hospital & facility affiliations

  • Holy Redeemer Home Care-PA Home health agency, Philadelphia, PA, CCN 397104
  • Mercy Home Health Home health agency, Newtown, PA, CCN 397015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS003888LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Richard a Strulson P.C. Family Medicine CurrentSince Jul 1, 1978 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: richard.strulson@richardastrulsondo.chartmakerdirect.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1639118938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 PRINCETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491522",
            "telephone_number": "215-624-0956",
            "fax_number": "215-624-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 PRINCETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491522",
            "telephone_number": "215-624-0956",
            "fax_number": "215-624-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRULSON",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS003888L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.