Individual provider Active NPI

Paul A Regan

  • Dermatology Physician
  • Bryn Mawr, PA
National Provider Identifier
1730717463
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD485318 Issued in PA
Practice address
919 Conestoga Rd Ste 106
Bryn Mawr, PA 19010-1352
Phone
(610) 525-5028
NPI assigned
Mar 30, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD485318 PA Primary

Addresses

Primary practice location

919 Conestoga Rd Ste 106
Bryn Mawr, PA 19010-1352

Mailing address

919 Conestoga Rd Ste 106
Bryn Mawr, PA 19010-1352
Phone (610) 525-5028

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
I20240604001342 PA Practitioner - Dermatology 1658773429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryn Mawr Skin and Cancer LLPGroup PAC ID 8123098324, 10 clinicians

Practice addresses (Care Compare)

919 Conestoga Rd
Suite 106
Bryn Mawr, PA 19010-1352
Phone (610) 525-5028

Merit-based Incentive Payment System (MIPS)

Final score
98.19 of 100Reported as group
Quality
96.72
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision53
Removal of tissue1-10
Removal of skin lesions961
Removal or shaving of skin growth54
Skin biopsy456

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bryn Mawr Skin & Cancer LLP CurrentSince Aug 1, 2024 Accepting new patients

Locations

919 Conestoga Rd
Ste 106
Bryn Mawr, PA 19010
Phone (215) 525-5028

919 Conestoga Rd
Bldg 2
Bryn Mawr, PA 19010
Phone (215) 525-5028

3855 West Chester Pike
Ste 325
Newtown Square, PA 19073
Phone (610) 337-3111

Interoperability endpoints

  • Direct secure messaging: pregan@bmsci.emadirect.md

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1730717463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 CONESTOGA RD STE 106",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101352",
            "telephone_number": "610-525-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 CONESTOGA RD STE 106",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101352",
            "telephone_number": "610-525-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN",
        "first_name": "PAUL",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD485318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.