Individual provider Active NPI

Raja Nicholas Kyriakos, M.D.

  • Diagnostic Radiology Physician
  • Abington, PA
National Provider Identifier
1770600033
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD430637 Issued in PA
Practice address
1200 Old York Rd
Abington, PA 19001-3720
Phone
(215) 481-3926
Fax
(215) 481-4126
NPI assigned
Mar 23, 2007
Last updated
Oct 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD430637 PA Primary

Addresses

Primary practice location

1200 Old York Rd
Abington, PA 19001-3720

Mailing address

PO Box 468
Berwick, PA 18603-0468
Phone (610) 956-0003

Other identifiers 1

IdentifierTypeStateIssuer
1018990960001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070705000247 PA Practitioner - Diagnostic Radiology 4587764501 Reassigns benefits to 3 organizations
I20241107003031 DE Practitioner - Diagnostic Radiology 4587764501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Diagnostic Imaging PCGroup PAC ID 1153233283, 91 clinicians

Practice addresses (Care Compare)

1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4814

701 N Clayton St
Wilmington, DE 19805-3165
Phone (610) 237-4814

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.27 of 100Reported as group
Quality
90.59
Improvement activities
40
Cost
81.48

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Advanced Medical Imaging, LLC CurrentSince Nov 1, 2007 Accepting new patients
Mercy Diagnostic Imaging PC Diagnostic Radiology CurrentSince Mar 28, 2024 Accepting new patients
Radiology Group of Abington PC Diagnostic Radiology CurrentSince Jul 23, 2007 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Apr 18, 2016 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Apr 18, 2016 Accepting new patients
Abington Memorial Hospital Past Accepting new patients

Locations

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

210 Commerce Way
Ste 100
Portsmouth, NH 03801

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

2400 Maryland Rd
Willow Grove, PA 19090
Phone (215) 659-4400

2701 Blair Mill Rd
Ste 9
Willow Grove, PA 19090
Phone (215) 481-3377

Interoperability endpoints

  • Direct secure messaging: rkyriakos3370469@direct.trinity-health.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1770600033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186030468",
            "telephone_number": "610-956-0003",
            "fax_number": "610-956-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013720",
            "telephone_number": "215-481-3926",
            "fax_number": "215-481-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYRIAKOS",
        "first_name": "RAJA",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD430637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018990960001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.