Individual provider Active NPI

James C Krull, MD

  • Family Medicine Physician
  • Paoli, PA
National Provider Identifier
1902829385
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
073234L Issued in PA
Practice address
250 W Lancaster Ave
Suite 120
Paoli, PA 19301-1743
Phone
(610) 644-8069
Fax
(610) 644-6736
NPI assigned
Jul 26, 2006
Sex
Male
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
Family Medicine Physician 207Q00000X 073234L PA Primary

Addresses

Primary practice location

250 W Lancaster Ave
Suite 120
Paoli, PA 19301-1743

Mailing address

250 W Lancaster Ave
Suite 120
Paoli, PA 19301-1743
Phone (610) 644-8069

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
I20110210001020 PA Practitioner - Family Practice 0941480727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Georgetown University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paoli Family MedicineGroup PAC ID 8325022759, 10 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

250 W Lancaster Ave
Suite 120
Paoli, PA 19301-1798
Phone (610) 644-8069

321 N Furnace St
Birdsboro, PA 19508-2057
Phone (610) 582-2250

Hospital & facility affiliations

  • Main Line Health Home Care & Hospice - Home Health Home health agency, Radnor, PA, CCN 397012
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
073234LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paoli Family Medicine Family Medicine CurrentSince Jul 16, 2001 Accepting new patients

Locations

250 W Lancaster Ave
Ste 120
Paoli, PA 19301
Phone (610) 644-8069

250 W Lancaster Ave
Ste 120V
Paoli, PA 19301

Interoperability endpoints

  • Direct secure messaging: james.krull@pfmp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFEDBA

Organizations & group practices 1

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902829385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W LANCASTER AVE",
            "address_2": "SUITE 120",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011743",
            "telephone_number": "610-644-8069",
            "fax_number": "610-644-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W LANCASTER AVE",
            "address_2": "SUITE 120",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011743",
            "telephone_number": "610-644-8069",
            "fax_number": "610-644-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRULL",
        "first_name": "JAMES",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "073234L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.