Individual provider Active NPI

Kumar Sarvottam, M.D

  • Pulmonary Disease Physician
  • Philadelphia, PA
National Provider Identifier
1740630888
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD478495 Issued in PA
Practice address
5501 Old York Rd Ste 1
Philadelphia, PA 19141-3098
Phone
(215) 456-4555
NPI assigned
Jun 20, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X MD478495 PA Primary
Pulmonary Disease Physician 207RP1001X MT219347 PA

Addresses

Primary practice location

5501 Old York Rd Ste 1
Philadelphia, PA 19141-3098

Mailing address

414 Water St Apt 2707
Baltimore, MD 21202-3292
Phone (507) 202-5278

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
I20220817002971 PA Practitioner - Pulmonary Disease 8426340480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

5501 Old York Rd
Phila, PA 19141-3018
Phone (215) 456-9850

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD478495PAMDPulmonary Disease Physician
MT219347PAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc Multi-Specialty Current Accepting new patients
Einstein Practice Plan Inc CurrentSince Aug 1, 2022 Accepting new patients
Einstein Practice Plan Inc Pulmonary Disease CurrentSince Aug 1, 2022 Accepting new patients
Einstein Practice Plan Inc Multi-Specialty Past Accepting new patients
Albert Einstein Medical Center Multi-Specialty Past Accepting new patients

Locations

60 Township Line Rd
Elkins Park, PA 19027
Phone (215) 663-6000

5501 Old York Rd
Bldg 2ND
Philadelphia, PA 19141
Phone (215) 456-3880

5401 Old York Rd
Ste 331
Philadelphia, PA 19141
Phone (215) 456-6948

5501 York Rd
Ste 1
Philadelphia, PA 19141
Phone (215) 456-6500

5401 Old York Rd
Ste 505
Philadelphia, PA 19141
Phone (215) 456-6933

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1740630888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 WATER ST APT 2707",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023292",
            "telephone_number": "507-202-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD STE 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413098",
            "telephone_number": "215-456-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARVOTTAM",
        "first_name": "KUMAR",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD478495",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MT219347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.