Individual provider Active NPI

Phillip John Kurello, M.D.

  • Family Medicine Physician
  • Lehman, PA
National Provider Identifier
1962495424
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD039685L Issued in PA
Practice address
1051 Mountain View Dr
Lehman, PA 18627-0903
Phone
(570) 675-4545
Fax
(570) 675-7123
NPI assigned
Aug 30, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 MD039685L PA Primary

Addresses

Primary practice location

1051 Mountain View Dr
Lehman, PA 18627-0903

Mailing address

PO Box C
1051 Mountainview Drive
Lehman, PA 18627-0903
Phone (570) 675-4545

Other names 1

  • Dr. Phillip John Kurello Professional name

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
I20120910000676 PA Practitioner - Family Practice 5991953325 Practice locations: Lehman, PA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1051 Mountainview Dr
Box C
Lehman, PA 18627-0903
Phone (570) 675-4545

C PO Box
Lehman, PA 18627-0903

PO Box C
1051 Mountainview Drive
Lehman, PA 18627-0903

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Hospital & facility affiliations 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962495424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX C",
            "address_2": "1051 MOUNTAINVIEW DRIVE",
            "city": "LEHMAN",
            "state": "PA",
            "postal_code": "186270903",
            "telephone_number": "570-675-4545",
            "fax_number": "570-675-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 MOUNTAIN VIEW DR",
            "city": "LEHMAN",
            "state": "PA",
            "postal_code": "186270903",
            "telephone_number": "570-675-4545",
            "fax_number": "570-675-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURELLO",
        "first_name": "PHILLIP",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD039685L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHILLIP",
            "last_name": "KURELLO",
            "middle_name": "JOHN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lehman, PA

Sources for this page

Verify at the official NPI Registry.