Individual provider Active NPI

Prabath Kumar Mondel, MD

  • Neuroradiology Physician
  • Philadelphia, PA
National Provider Identifier
1780165449
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
MT214839 Issued in PA
Practice address
132 S 10TH St FL 10
Philadelphia, PA 19107-5244
Phone
(215) 955-6226
Fax
(215) 953-1562
NPI assigned
Aug 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X MT214839 PA Primary

Addresses

Primary practice location

132 S 10TH St FL 10
Philadelphia, PA 19107-5244

Mailing address

1601 Spring Garden St Apt 509
Philadelphia, PA 19130-3944
Phone (267) 307-1653

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
I20201231000046 PA Practitioner - Diagnostic Radiology 6709136641 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians
Rittenhouse Imaging Center, LLCGroup PAC ID 5193624583, 39 clinicians
Jeanes Radiology Associates LLCGroup PAC ID 1850290248, 43 clinicians
Jefferson University Radiology Associates LLCGroup PAC ID 7315845708, 110 clinicians

Practice addresses (Care Compare)

10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 612-4000

1101 Chestnut St
Philadelphia, PA 19107-3619
Phone (800) 533-3669

1101 Market St
FL 19
Philadelphia, PA 19107-2926

111 S 11TH St
Philadelphia, PA 19107-4824

1200 Old York Rd
Abington, PA 19001-3720

1601 Spring Garden St
Apt 509
Philadelphia, PA 19130-3944
Phone (754) 206-6226

1619 Grant Ave
Philadelphia, PA 19115-3167
Phone (215) 676-3300

2301 S Broad St
Philadelphia, PA 19148-3542
Phone (215) 952-7444

3300 Tillman Dr
Bensalem, PA 19020-2071
Phone (215) 244-7400

834 Walnut St
Suite 110
Philadelphia, PA 19107-5109
Phone (215) 503-4779

850 Walnut St
Jefferson Outpatient Imaging
Philadelphia, PA 19107-5109
Phone (610) 831-0500

909 Walnut St
2ND Floor
Philadelphia, PA 19107-5211
Phone (215) 955-7000

925 Chestnut St
Philadelphia, PA 19107-4204

925 Chestnut St
Suite 3
Philadelphia, PA 19107-4216
Phone (215) 955-8874

Hospital & facility affiliations

  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174
  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231
  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007
  • Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Radiology Associates, LLC CurrentSince Dec 1, 2020 Accepting new patients
Lebanon Diagnostic Imaging, LLC CurrentSince Mar 15, 2023 Accepting new patients
Jeanes Radiology Associates LLC CurrentSince Jan 31, 2023 Accepting new patients
Jefferson University Radiology Associates LLC Current Accepting new patients
Rittenhouse Imaging Center, LLC CurrentSince Mar 15, 2023 Accepting new patients
Jefferson University Radiology Associates, LLC CurrentSince Dec 1, 2020 Accepting new patients
Jefferson University Physicians CurrentSince Jan 1, 2021 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Jan 1, 2021 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Jan 1, 2021 Accepting new patients
Insight Health Corp PastSince Mar 15, 2023 Accepting new patients

Locations

462 Gateway Ave
Chambersburg, PA 17201
Phone (717) 263-4999

150 E Pennsylvania Ave
Downingtown, PA 19335
Phone (215) 772-9674

825 Town Center Dr
Ste 100
Langhorne, PA 19047
Phone (215) 750-1615

1 W Germantown Pike
Norristown, PA 19401
Phone (610) 277-3202

132 S 10th St
Fl 10
Philadelphia, PA 19107
Phone (215) 955-6226

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

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

132 S 10th St
Fl Main
Philadelphia, PA 19107
Phone (215) 955-6226

111 S 11th St
Philadelphia, PA 19107
Phone (215) 955-6161

850 Walnut St
Philadelphia, PA 19107
Phone (215) 503-4900

8001 Roosevelt Blvd
Ste 104
Philadelphia, PA 19152
Phone (215) 331-9100

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

Organizations & group practices 10

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 5

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": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1780165449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SPRING GARDEN ST APT 509",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303944",
            "telephone_number": "267-307-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S 10TH ST FL 10",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075244",
            "telephone_number": "215-955-6226",
            "fax_number": "215-953-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDEL",
        "first_name": "PRABATH",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "PA",
            "license": "MT214839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.