Individual provider Active NPI

Dusty Isabel Mahosky Ukropec, MD

  • Family Medicine Physician
  • Harleysville, PA
National Provider Identifier
1972507341
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD069901L Issued in PA
Practice address
270 Main St
Harleysville, PA 19438-2400
Phone
(215) 721-6500
Fax
(215) 721-6505
NPI assigned
Jun 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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 MD069901L PA Primary

Addresses

Primary practice location

270 Main St
Harleysville, PA 19438-2400

Mailing address

PO Box 1111
Harleysville, PA 19438-0907
Phone (215) 453-4995

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
I20100831000957 PA Practitioner - Family Practice 6901920719 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD069901LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grand View Hospital Family Medicine CurrentSince Oct 1, 2015 Accepting new patients

Locations

3456 Bethlehem Pike
Souderton, PA 18964
Phone (215) 721-6500

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.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1972507341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1111",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194380907",
            "telephone_number": "215-453-4995",
            "fax_number": "215-453-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 MAIN ST",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382400",
            "telephone_number": "215-721-6500",
            "fax_number": "215-721-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHOSKY UKROPEC",
        "first_name": "DUSTY",
        "middle_name": "ISABEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD069901L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harleysville, PA

Sources for this page

Verify at the official NPI Registry.