Olga Semyonovna Radkevich-Brown, M.D., PH.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD468442 Issued in PA

Practice address

200 Mall Blvd
King of Prussia, PA 19406-2902

Phone

(610) 337-3195

NPI assigned

Mar 22, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

University of Michigan Medical School, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: obrown@merionderm.emadirect.md

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.

• Merion Family Dermatology, LLC

  • Dermatology Physician
  • Bala Cynwyd, PA
  • NPI 1568278158
  Medicare reassignment NPD Authorized official
• Pennsylvania Dermatology Partners Inc

  • Dermatology Physician
  • West Lawn, PA
  • NPI 1023382918
  Medicare reassignment NPD
• Dermatology and Plastic Surgery Associates, S.C.

  • Procedural Dermatology Physician
  • Joliet, IL
  • NPI 1700987328
  NPD
• James W. Padget III & Sonia M Padget PTR

  • Dermatology Physician
  • King of Prussia, PA
  • NPI 1992873764
  NPD (past)

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736640000000",
    "number": "1992047468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 BEN FRANKLIN HWY E",
            "city": "BIRDSBORO",
            "state": "PA",
            "postal_code": "195088772",
            "telephone_number": "610-288-2908",
            "fax_number": "610-898-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MALL BLVD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062902",
            "telephone_number": "610-337-3195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "491 Allendale Rd Ste 313",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194061474",
            "country_code": "US",
            "telephone_number": "610-337-3195",
            "fax_number": "610-337-0932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7123 W Archer Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606382203",
            "country_code": "US",
            "telephone_number": "773-586-4506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADKEVICH-BROWN",
        "first_name": "OLGA",
        "middle_name": "SEMYONOVNA",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD468442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2025; 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.

Verify at the official NPI Registry.