Individual provider Active NPI

Richard M Sobel, M.D.

  • Psychiatry Physician
  • Media, PA
National Provider Identifier
1700808003
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD035260E Issued in PA
Practice address
1245 N Providence Rd
Media, PA 19063-1210
Phone
(215) 731-1901
Fax
(215) 731-9503
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 25MA11176600 NJ
Psychiatry Physician 2084P0800X ME78289 FL
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X 25MA11176600 NJ
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X MD035260E PA
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X ME78289 FL
Psychiatry Physician 2084P0800X MD035260E PA Primary

Addresses

Primary practice location

1245 N Providence Rd
Media, PA 19063-1210

Mailing address

5565 N Barrasca Ave
Tucson, AZ 85750-6495
Phone (215) 731-1901

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
I20080117000049 PA Practitioner - PsychiatryPractitioner - Interventional Pain ManagementPractitioner - Geriatric MedicinePractitioner - Pain Management 2163503061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Pain Management
Education
Pennsylvania State University College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1245 N Providence Rd
Media, PA 19063-1210
Phone (215) 731-1901

1500 Walnut St
Suite 902
Philadelphia, PA 19102-3518

1500 Walnut St
Suite 902
Philadelphia, PA 19102-3523

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME78289FLMDPain Medicine (Psychiatry & Neurology) Physician
25MA11176600NJMDPain Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard M. Sobel M.D. LLC Single Specialty CurrentSince Aug 15, 2007 Accepting new patients

Locations

6890 E Sunrise Dr
#120363
Tucson, AZ 85750

1245 N Providence Rd
Media, PA 19063
Phone (215) 731-1901

1500 Walnut St
Ste 902
Philadelphia, PA 19102
Phone (215) 303-7588

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1700808003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 N BARRASCA AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857506495",
            "telephone_number": "215-731-1901",
            "fax_number": "215-731-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 N PROVIDENCE RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631210",
            "telephone_number": "215-731-1901",
            "fax_number": "215-731-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBEL",
        "first_name": "RICHARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA11176600",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME78289",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "NJ",
            "license": "25MA11176600",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "PA",
            "license": "MD035260E",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "FL",
            "license": "ME78289",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD035260E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.