LARRY E. KREVOLIN DO – NPI #1265532923
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

LARRY KREVOLIN is a physician located in PHILADELPHIA, PA. NPPES has assigned the NPI number 1265532923 to LARRY KREVOLIN on September 23, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 15 years ago on Dec 16, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LARRY KREVOLIN below.

NPI Profile for
LARRY E. KREVOLIN

NPI Number
1265532923
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LARRY E. KREVOLIN
Credentials
DO
Primary location
235 N BROAD ST
SUITE 200 CLINICAL NEPHROLOGY ASSOC
PHILADELPHIA, PA 19107-1511
Phone: (215) 762-7785 Fax: (215) 568-6007
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for LARRY KREVOLIN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDPA000792539
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)
PA 05003817L

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE - Graduated 1976
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
LARRY KREVOLIN is affiliated with the following medical group(s):
  • HOSPITAL
    • TEMPLE UNIVERSITY HOSPITAL
      3401 NORTH BROAD STREET
      PHILADELPHIA, PA 19140
    • THOMAS JEFFERSON UNIVERSITY HOSPITAL
      111 SOUTH 11TH STREET
      PHILADELPHIA, PA 19107
  • DIALYSIS FACILITY
    • DAVITA FRANKLIN DIALYSIS AT HOME
      301 Callowhill Street
      Philadelphia, PA 19123
    • FMC SILVER DIALYSIS
      Dialysis Unit
      Cherry Hill, NJ 08034
    • FRESENIUS KIDNEY CARE - NORTHWEST PHILADELPHIA
      4190 City Avenue, Suite 124
      Philadelphia, PA 19131
    • ISD RENAL INC
      1930 South Broad Street, Unit 7
      Philadelphia, PA 19145

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