Individual provider Active NPI

Sean M Smullen, MD

  • Otolaryngology Physician
  • Lansdale, PA
National Provider Identifier
1982767141
Registry record updated Dec 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD043027L Issued in PA
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

Updated by the provider on Dec 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101111000659 PA Practitioner - Otolaryngology 5496721318 Reassigns benefits to 1 organization

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.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians
Otolaryngology Plastic Surgery Associates, PCGroup PAC ID 2567453863, 4 clinicians

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 Hospital, Doylestown, PA, CCN 390203
  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057

Merit-based Incentive Payment System (MIPS)

Final score
83.88 of 100Reported as group
Quality
72.57
Improvement activities
40
Cost
82.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD043027LPAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Otolaryngology Plastic Surgery Associates, PC Otolaryngology CurrentSince Oct 27, 1997 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.