Individual provider Active NPI

Connor Kealy McPartland, MD

  • Urology Physician
  • Philadelphia, PA
National Provider Identifier
1649962218
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MT228107 Issued in PA
Practice address
3509 N Broad St FL 2
Philadelphia, PA 19140-4105
Phone
(215) 707-9837
Fax
(215) 707-4721
NPI assigned
May 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MT228107 PA Primary

Addresses

Primary practice location

3509 N Broad St FL 2
Philadelphia, PA 19140-4105

Mailing address

202 Sunset LN
Lincoln University, PA 19352-9001
Phone (484) 667-7098

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
I20230608000147 PA Order and Referring Only - UrologyPractitioner - Urology 1355708223

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1649962218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 SUNSET LN",
            "city": "LINCOLN UNIVERSITY",
            "state": "PA",
            "postal_code": "193529001",
            "telephone_number": "484-667-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 N BROAD ST FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404105",
            "telephone_number": "215-707-9837",
            "fax_number": "215-707-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPARTLAND",
        "first_name": "CONNOR",
        "middle_name": "KEALY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MT228107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.