Shari B Klugman, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS011151L Issued in PA

Practice address

9622 Bustleton Ave
Ste 6
Philadelphia, PA 19115-3100

Phone

(215) 673-7067

Fax

(215) 673-4966

NPI assigned

May 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Center of Bustleton PCGroup PAC ID 8123002912, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142
• Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sklugman@mcbpc.direct.medicscloud.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Medical Center of Bustleton PC

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1861576753

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Pinnacle Physicians Group LLC

  • Family Medicine Physician
  • Trevose, PA
  • NPI 1184984809
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Einstein Hospital

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1366653818
  Care Compare affiliation Name & address match
• Holy Redeemer Health System

  • General Acute Care Hospital
  • Meadowbrook, PA
  • NPI 1750371522
  Care Compare affiliation

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1861448714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9622 BUSTLETON AVE",
            "address_2": "STE 6",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153100",
            "telephone_number": "215-673-7067",
            "fax_number": "215-673-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9622 BUSTLETON AVE",
            "address_2": "STE 6",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153100",
            "telephone_number": "215-673-7067",
            "fax_number": "215-673-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUGMAN",
        "first_name": "SHARI",
        "middle_name": "B",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS011151L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019590840001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Thais Klotz, OTD, OTR/L
• Lauren Klotzbach, PT
• Oleg Klubis, D.D.S.
• Joseph Steven Kluck, PHARM. D.
• Allison S Klug, PA-C
• Megan M Kluka, PT, DPT
• Thomas R Klumpp, MD
• Gustavo Klurfan, LPC
• Samantha Kluz, PA-C
• KMJ Physical Therapy PC

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.