Active NPI
Sean M Smullen, MD
- Otolaryngology Physician
- Lansdale, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD043027L
- Practice address
- 2100 N Broad St
Lansdale, PA 19446-1052 - Phone
- (215) 368-5290
- Fax
- (215) 368-4401
- NPI assigned
- Dec 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | MD043027L | PA | |
| Otolaryngology Physician | 207Y00000X | MD043027L | PA | Primary |
Addresses
Primary practice location
2100 N Broad St
Lansdale, PA 19446-1052
Mailing address
2100 N Broad St
Lansdale, PA 19446-1052
Phone (215) 368-5290
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Wisconsin School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novacare Outpatient Rehabilitation East, Inc.
Practice addresses (Care Compare)
201 2ND Ave
Collegeville, PA 19426-3613
Phone (610) 489-7703
2100 N Broad St
102 North Penn Medical Arts Center
Lansdale, PA 19446-1052
Phone (215) 368-5290
Hospital & facility affiliations
- Doylestown Hospital
- St Luke'S Hospital - Grand View Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.88 of 100
- Quality
- 72.57
- Improvement activities
- 40
- Cost
- 82.85
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD043027L | PA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otolaryngology Plastic Surgery Associates, PC | Otolaryngology | Current | Accepting new patients |
Locations
103 Progress Dr
Ste 200
Doylestown, PA 18901
Phone (215) 348-1115
103 Progress Dr
Ste 103
Doylestown, PA 18901
Phone (215) 348-1152
2100 N Broad St
Ste 102
Lansdale, PA 19446
Phone (215) 348-1152
2100 N Broad St
Lansdale, PA 19446
Phone (215) 368-1122
920 Lawn Ave
Ste 7
Sellersville, PA 18960
Phone 2153481152 ext. 108
Interoperability endpoints
- smullen@entdrs.medentdirect.com
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.
-
- Otolaryngology Physician
- Lansdale, PA
- NPI 1487717575
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Doylestown, PA
- NPI 1225091697
-
- General Acute Care Hospital
- Sellersville, PA
- NPI 1568459287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197072000000",
"number": "1982767141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 N BROAD ST",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194461052",
"telephone_number": "215-368-5290",
"fax_number": "215-348-7416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 N BROAD ST",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194461052",
"telephone_number": "215-368-5290",
"fax_number": "215-368-4401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMULLEN",
"first_name": "SEAN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2007-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "PA",
"license": "MD043027L",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PA",
"license": "MD043027L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2007; 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.