Active NPI
Richard Mark Skaroff, M.D.
- Family Medicine Physician
- Philadelphia, PA
National Provider Identifier
1750477741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD027118E
- Practice address
- 8001 Roosevelt Blvd.
Suite 209
Philadelphia, PA 19152-3038 - Phone
- (215) 543-9300
- Fax
- (215) 543-9313
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD027118E | PA | Primary |
Addresses
Primary practice location
8001 Roosevelt Blvd.
Suite 209
Philadelphia, PA 19152-3038
Mailing address
8001 Roosevelt Blvd.
Suite 209
Philadelphia, PA 19152-3038
Phone (215) 543-9300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1165500 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Richard Skaroff, M.D. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Phila, PA
- NPI 1437359528
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750477741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8001 ROOSEVELT BLVD.",
"address_2": "SUITE 209",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191523038",
"telephone_number": "215-543-9300",
"fax_number": "215-543-9313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8001 ROOSEVELT BLVD.",
"address_2": "SUITE 209",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191523038",
"telephone_number": "215-543-9300",
"fax_number": "215-543-9313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKAROFF",
"first_name": "RICHARD",
"middle_name": "MARK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD027118E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1165500",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.