Individual provider Active NPI

Todd Marc Kelman, D.O.

  • Orthopaedic Hand Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1710092192
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
OS005320L Issued in PA
Practice address
4190 City Ave Ste 503
Philadelphia, PA 19131-1634
Phone
(215) 871-1616
Fax
(215) 871-1628
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X OS005320L PA Primary

Addresses

Primary practice location

4190 City Ave Ste 503
Philadelphia, PA 19131-1634

Mailing address

4190 City Ave Ste 503
Philadelphia, PA 19131-1634
Phone (215) 871-1616

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
I20110318000272 PA Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 4981887650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Philadelphia College of Osteopathic Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4190 City Ave
Suite 503
Philadelphia, PA 19131-1634
Phone (215) 871-1616

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Hand Surgery and Rehabilitation PC Hand Surgery CurrentSince Jun 8, 1989 Accepting new patients

Locations

4190 City Ave
Ste 503
Philadelphia, PA 19131
Phone (215) 871-1616

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710092192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 CITY AVE STE 503",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311634",
            "telephone_number": "215-871-1616",
            "fax_number": "215-871-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 CITY AVE STE 503",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311634",
            "telephone_number": "215-871-1616",
            "fax_number": "215-871-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELMAN",
        "first_name": "TODD",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "PA",
            "license": "OS005320L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.