NPIMap

Organization Active NPI

Seasons Medical Group of Pennsylvania, P.C.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • King of Prussia, PA
National Provider Identifier
1780138545
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
SEASONS MEDICAL GROUP OF PENNSYLVANIA, P.C.
Practice address
2200 Renaissance Blvd
Suite 110
King of Prussia, PA 19406-2755
Phone
(610) 382-1800
NPI assigned
Aug 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Authorized official

Name
Balakrishnan NatarajanNPI 1295799013
Title
President
Phone
(847) 692-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X Primary

Addresses

Primary practice location

2200 Renaissance Blvd
Suite 110
King of Prussia, PA 19406-2755

Mailing address

6400 Shafer CT Ste 300a
Rosemont, IL 60018-4914
Phone (346) 376-1702

Other names 1

  • AccentCare Medical Group of Pennsylvania Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161108000096 PA Part B Supplier - Clinic/Group Practice 2264711688 Receives reassigned benefits from 9 practitioners
Practice locations: King of Prussia, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1780138545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SHAFER CT STE 300A",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "600184914",
            "telephone_number": "346-376-1702",
            "fax_number": "224-532-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 RENAISSANCE BLVD",
            "address_2": "SUITE 110",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062755",
            "telephone_number": "610-382-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS MEDICAL GROUP OF PENNSYLVANIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "NATARAJAN",
        "authorized_official_first_name": "BALAKRISHNAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-692-1000"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AccentCare Medical Group of Pennsylvania",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.