| NPI | 1215351044 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2014-02-14 |
| Last Updated | 2014-05-29 |
| Authorized Official | Carole Medoff Executive Director Phone: 2154351709 |
| Mailing Address | 9908 Roosevelt Blvd Philadelphia, PA 19115-1705 United States Phone: (215) 464-3300 | Fax: (215) 464-5403 📍 View Map |
| Primary Practice Address | 9908 Roosevelt Blvd Philadelphia, PA 19115-1705 United States Phone: (215) 464-3300 | Fax: (215) 464-5403 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | PA | 1027993620001 | - |
| Other (non-Medicare) | PA | 248882 | Medicare Group PTAN |
| Other (non-Medicare) | PA | 3033848 | Highmark BlueCross |
| Other (non-Medicare) | PA | 3915101000 | Independence BlueCross |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 2085R0204X – Radiology, Vascular & Interventional Radiology | - | - |
| Yes | 2085R0202X – Radiology, Diagnostic Radiology | - | - |
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About NPI 1215351044
Pinnacle Physicians Group, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1215351044. The primary specialty listed is Radiology, Diagnostic Radiology. The organization is located in Philadelphia, PA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2014-02-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1215351044?
NPI 1215351044 belongs to Pinnacle Physicians Group, Llc, a Radiology, Diagnostic Radiology in Philadelphia, PA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1215351044 active?
The current status of NPI 1215351044 in the NPPES registry is Active. The record was last updated on 2014-05-29.
What specialty is NPI 1215351044?
NPI 1215351044 is classified under the taxonomy Radiology, Diagnostic Radiology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1215351044?
You can verify NPI 1215351044 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1215351044?
The primary practice address on file for NPI 1215351044 is 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1215351044 issued?
NPI 1215351044 was first issued (enumerated) on 2014-02-14. The NPPES record was last updated on 2014-05-29.
Practice Location Map
Pinnacle Physicians Group, Llc is located at 9908 Roosevelt Blvd, Philadelphia, PA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Pinnacle Physicians Group, Llc. All records sourced from the CMS NPPES registry.