Individual provider Active NPI

Jeffrey Thomas Truitt, M.D.

  • Pain Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1700066040
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
MD441537 Issued in PA
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1025978590001MedicaidPA
2629431OtherPAHIGHMARK BLUE SHIELD
3846091000OtherPAKEYSTONE IBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110721000233 PA Practitioner - AnesthesiologyPractitioner - Pain Management 5991973745 Reassigns benefits to 2 organizations
I20240927000270 NJ Practitioner - Pain Management 5991973745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Drexel University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians

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

OrganizationSpecialtyStatusNew patients
Aria Health Physician Services CurrentSince Jul 1, 2011 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Feb 11, 2024 Accepting new patients
Aria Health Physician Services Pain Medicine CurrentSince Jul 1, 2011 Accepting new patients
Kennedy Medical Group Practice, P.C. CurrentSince Sep 17, 2024 Accepting new patients
Aria Health Physician Services Current Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Feb 11, 2024 Accepting new patients
Kennedy Medical Group Practice, P.C. Current Accepting new patients
Kennedy Medical Group Practice PC CurrentSince Sep 17, 2024 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.