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KURT DANIEL PALUMBO PA
NPI 1104378660
Physician Assistant - Medical in Philadelphia, PA

Active since November 01, 2016PECOS Enrolled
85.48/100
CMS Quality Rating
3400 SPRUCE ST # 5023, PHILADELPHIA, PA 19104(215) 614-0837 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Aug 30, 2017, Nov 1, 2016 (3 updates tracked since 2016).

About Kurt Daniel Palumbo Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KURT DANIEL PALUMBO PA (NPI 1104378660) is an individual medical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA058993) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104378660
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKURT DANIEL PALUMBOCredential: PA
Location Address3400 SPRUCE ST # 5023Philadelphia, PA 19104-4238
Mailing Address3400 Spruce St, Gates 5023Philadelphia, PA 19104-4026 · (215) 614-0837
Phone(215) 614-0837
Sole ProprietorNo
Enumeration DateNovember 1, 2016
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1104378660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in PA · MA058993✔ Licensed in NY · 020180
3400 SPRUCE ST # 5023, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kurt Daniel Palumbo Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE GELINNE
Hospitalist
3400 SPRUCE ST # 5023
PHILADELPHIA, PA 19104
Philadelphia County (215) 614-0837

Frequently Asked Questions

What is Kurt Palumbo's NPI number?

The NPI number assigned to this healthcare provider is 1104378660, enumerated as an "individual" on November 01, 2016.

Where is the provider located?

The provider is located at 3400 SPRUCE ST # 5023 PHILADELPHIA, PA 19104 and the phone number is (215) 614-0837.

What is the provider's specialty?

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.