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: August 23, 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
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

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.

Hospitalist
3400 SPRUCE ST # 5023
PHILADELPHIA, PA 19104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kurt Palumbo's NPI number?

The NPI number for Kurt Palumbo is 1104378660. It was assigned to this individual provider in the NPPES registry on November 1, 2016.

Where is Kurt Palumbo located?

Kurt Palumbo practices at 3400 Spruce St # 5023, Philadelphia, PA 19104. The listed phone number is (215) 614-0837.

What is Kurt Palumbo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kurt Palumbo enrolled in Medicare?

Yes. Kurt Palumbo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kurt Palumbo was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.