Active NPI
Ronald J Carlucci Sr., MD FACS
- Family Medicine Physician
- Media, PA
National Provider Identifier
1831177682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD006225E
- Practice address
- 720 Summer St
Media, PA 19063-1509 - Phone
- (610) 566-2606
- Fax
- (610) 566-2066
- NPI assigned
- Jan 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 | MD006225E | PA | Primary |
Addresses
Primary practice location
720 Summer St
Media, PA 19063-1509
Mailing address
720 Summer St
Media, PA 19063-1509
Phone (610) 566-2606
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014695 | Other | PA | BS |
| 0704133 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1831177682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 SUMMER ST",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631509",
"telephone_number": "610-566-2606",
"fax_number": "610-566-2066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 SUMMER ST",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631509",
"telephone_number": "610-566-2606",
"fax_number": "610-566-2066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLUCCI",
"first_name": "RONALD",
"middle_name": "J",
"name_suffix": "Sr.",
"credential": "MD FACS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD006225E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS",
"identifier": "014695",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0704133",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.