Individual provider Active NPI

Karen May Trabulsi, M.D.

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1831202332
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD065635L Issued in PA
Practice address
2230 Cottman Ave
Health Care Center #10
Philadelphia, PA 19149-1230
Phone
(215) 685-0639
Fax
(215) 725-4877
NPI assigned
Aug 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD065635L PA Primary

Addresses

Primary practice location

2230 Cottman Ave
Health Care Center #10
Philadelphia, PA 19149-1230

Mailing address

500 S Broad St
Suite 360
Philadelphia, PA 19146-1613
Phone (215) 685-6769

Other identifiers 1

IdentifierTypeStateIssuer
1014694890001MedicaidPA

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
I20050706000644 PA Practitioner - Pediatric Medicine 5294771754 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD065635LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Philadelphia CurrentSince Jan 24, 2005 Accepting new patients
City of Philadelphia CurrentSince Jan 24, 2005 Accepting new patients
City of Philadelphia Current Accepting new patients
City of Philadelphia Past Accepting new patients

Locations

4400 Haverford Ave
#4
Philadelphia, PA 19104
Phone (215) 685-7600

555 S 43rd St
Philadelphia, PA 19104
Phone (215) 685-7500

2230 Cottman Ave
#10
Philadelphia, PA 19149
Phone (215) 685-0602

500 S Broad St
Ste 360
Philadelphia, PA 19146

1101 Market St
Fl 10
Philadelphia, PA 19107

2230 Cottman Ave
Philadelphia, PA 19149
Phone (215) 685-0603

Interoperability endpoints

  • Direct secure messaging: karen.trabulsi@pdphahs.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831202332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S BROAD ST",
            "address_2": "SUITE 360",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461613",
            "telephone_number": "215-685-6769",
            "fax_number": "215-685-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 COTTMAN AVE",
            "address_2": "HEALTH CARE CENTER #10",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491230",
            "telephone_number": "215-685-0639",
            "fax_number": "215-725-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRABULSI",
        "first_name": "KAREN",
        "middle_name": "MAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD065635L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014694890001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.