Active NPI
Jeffrey Thomas Truitt, M.D.
- Pain Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- MD441537
- Practice address
- 3998 Red Lion Rd
Suite 304
Philadelphia, PA 19114-1445 - Phone
- (215) 612-4060
- Fax
- (215) 612-2630
- NPI assigned
- Nov 4, 2007
- Last updated
- Oct 7, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | MD441537 | PA | Primary |
| Anesthesiology Physician | 207L00000X | MD441537 | PA |
Addresses
Primary practice location
3998 Red Lion Rd
Suite 304
Philadelphia, PA 19114-1445
Mailing address
PO Box 8500-6335
Philadelphia, PA 19178-6335
Phone (215) 807-8000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1025978590001 | Medicaid | PA | |
| 2629431 | Other | PA | HIGHMARK BLUE SHIELD |
| 3846091000 | Other | PA | KEYSTONE IBC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Drexel University College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
380 N Oxford Valley Rd
Langhorne, PA 19047-8304
Phone (215) 750-6566
380 Oxford Valley Rd
Langhorne, PA 19047-8304
3998 Red Lion Rd
Philadelphia, PA 19114-1440
3998 Red Lion Rd
Philadelphia, PA 19114-1441
435 Hurffville Cross Keys Rd
Turnersville, NJ 08012-2453
Phone (856) 513-4124
457 Haddonfield Rd
Suite 110
Cherry Hill, NJ 08002-2223
Phone (844) 542-2273
5000 Frankford Ave
Philadelphia, PA 19124-2620
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Health Physician Services | Current | Accepting new patients | |
| Methodist Associates in Healthcare, Inc | Current | Accepting new patients | |
| Aria Health Physician Services | Pain Medicine | Current | Accepting new patients |
| Kennedy Medical Group Practice, P.C. | Current | Accepting new patients | |
| Aria Health Physician Services | Current | Accepting new patients | |
| Methodist Associates in Healthcare, Inc | Current | Accepting new patients | |
| Kennedy Medical Group Practice, P.C. | Current | Accepting new patients | |
| Kennedy Medical Group Practice PC | Current | Accepting new patients |
Locations
457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091
1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836
2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175
3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060
3998 Red Lion Rd
Ste 235
Philadelphia, PA 19114
Phone (215) 632-3630
3998 Red Lion Rd
Ste 304
Philadelphia, PA 19114
Phone (215) 312-4060
5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355
Organizations & group practices 8
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.
-
dba Richboro Medical
- Family Medicine Physician
- Richboro, PA
- NPI 1750949806
-
dba Jefferson Health
- Family Medicine Physician
- Voorhees, NJ
- NPI 1952726796
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053355131
-
dba Geoffrey W. Temple Family Medical Associates
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053181297
-
dba Aria Health Physician Services - Pain Management
- Pain Medicine Physician
- Philadelphia, PA
- NPI 1114257979
-
dba Jefferson Community Physicians - Neurosurgery
- Neurological Surgery Physician
- Philadelphia, PA
- NPI 1790390813
-
dba Kennedy Health Alliance
- Family Medicine Physician
- Sewell, NJ
- NPI 1952848905
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1427350040
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1366653818
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1801963343
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1386746592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317945600000",
"number": "1700066040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8500-6335",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191786335",
"telephone_number": "215-807-8000",
"fax_number": "215-612-2630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3998 RED LION RD",
"address_2": "SUITE 304",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191141445",
"telephone_number": "215-612-4060",
"fax_number": "215-612-2630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUITT",
"first_name": "JEFFREY",
"middle_name": "THOMAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-04",
"last_updated": "2011-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "PA",
"license": "MD441537",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD441537",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1025978590001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "2629431",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE IBC",
"identifier": "3846091000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.