Active NPI
Michael P Rill, MD
- Family Medicine Physician
- Glenmoore, PA
National Provider Identifier
1861454597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD041931E
- Practice address
- 61 Jacqueline Cir
Glenmoore, PA 19343-1715 - Phone
- (610) 942-0303
- Fax
- (610) 942-0303
- NPI assigned
- Apr 6, 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 | MD041931E | PA | Primary |
Addresses
Primary practice location
61 Jacqueline Cir
Glenmoore, PA 19343-1715
Mailing address
61 Jacqueline Cir
Glenmoore, PA 19343-1715
Phone (610) 942-0303
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001133576 | Medicaid | PA | |
| 010034426 | Other | PA | RAILROAD MEDICARE PTAN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD041931E | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coatesville Hospital Corporation | Past | Accepting new patients | |
| Umair Moiz Malik MD PC | Past | Accepting new patients |
Organizations & group practices 2
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.
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-
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- Thorndale, PA
- NPI 1144986969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1861454597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 JACQUELINE CIR",
"city": "GLENMOORE",
"state": "PA",
"postal_code": "193431715",
"telephone_number": "610-942-0303",
"fax_number": "610-942-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 JACQUELINE CIR",
"city": "GLENMOORE",
"state": "PA",
"postal_code": "193431715",
"telephone_number": "610-942-0303",
"fax_number": "610-942-0303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILL",
"first_name": "MICHAEL",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD041931E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001133576",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "010034426",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glenmoore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.