DR. JAMES DAVID KOLKER MD NPI 1568433373

Radiology (Radiation Oncology) in Philadelphia, PA

NPI 1568433373 Individual Male Years of Experience 41 Radiology Radiation Oncology PECOS Enrolled Accepts Medicare Approved Payment

About JAMES KOLKER

James Kolker is a provider established in Philadelphia, Pennsylvania and his medical specialization is radiology (radiation oncology) with more than 41 years of experience. The NPI number of James Kolker is 1568433373 and was assigned on January 2006. The practitioner's primary taxonomy code is 2085R0001X with license number MD438043 (PA). The provider is registered as an individual and his NPI record was last updated 10 years ago.

James Kolker is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

James Kolker is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Pennsylvania Hospital, Hospital Of Univ Of Pennsylvania and Penn Presbyterian Medical Center.

NPI

1568433373

Provider NameDR. JAMES DAVID KOLKER MD
Provider Location Address3400 SPRUCE ST PHILADELPHIA, PA 19104
Provider Mailing Address3400 SPRUCE STREET PHILADELPHIA, PA 19104
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1981
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date01-30-2006
Last Update Date11-28-2011


Primary Taxonomy

Taxonomy Code2085R0001X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationRadiation Oncology
License No.MD438043
License StatePA
Taxonomy DescriptionA radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Business Address

DR. JAMES DAVID KOLKER MD
3400 SPRUCE ST
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-2428

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Mailing Address

DR. JAMES DAVID KOLKER MD
3400 SPRUCE STREET
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-2428



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID9739264110
PECOS Enrollment IDI20090903000480, I20160323000368
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 313Calculation of radiation therapy dose (HCPCS:77300)
  • 269Radiation treatment devices, design and construction, complex (HCPCS:77334)
  • 144Radiation treatment management, 5 treatments (HCPCS:77427)
  • 87Management of radiation therapy, complex (HCPCS:77263)
  • 59Management of radiation therapy, simulation, complex (HCPCS:77290)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. James Kolker is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
PENNSYLVANIA HOSPITAL800 SPRUCE STREET
PHILADELPHIA, PA 19107
(215) 829-3000Acute Care Hospitals390226
HOSPITAL OF UNIV OF PENNSYLVANIA34TH & SPRUCE STS
PHILADELPHIA, PA 19104
(215) 662-3227Acute Care Hospitals390111
PENN PRESBYTERIAN MEDICAL CENTER51 NORTH 39TH STREET
PHILADELPHIA, PA 19104
(215) 662-8000Acute Care Hospitals390223

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyK0873TXNo

Taxonomy Description: a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0005265289OTHER (01)
E18483MEDICARE UPIN (02)
046249101MEDICAID (05)TX
87Z840OTHER (01)TX
920002341OTHER (01)
87Z840MEDICARE PIN (08)TX

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114924719DR. HARRY BART SMELTZ DO
Individual
Anesthesiology3400 SPRUCE ST 6 DULLES
PHILADELPHIA, PA 19104
(215) 349-8310
1366439705 ISSAM A MARDINI MD
Individual
Anesthesiology (Pain Medicine)3400 SPRUCE ST HUP-DULLES 6, ANESTHESIOLOGY DEPT
PHILADELPHIA, PA 19104
(610) 416-4145
1780673673 BARBARA A BERNHARDT MS
Individual
Genetic Counselor, MS3400 SPRUCE ST 535 MALONEY BLDG
PHILADELPHIA, PA 19104
(215) 662-4740
1932198827MS. JILL ELISE STOPFER MS
Individual
Genetic Counselor, MS3400 SPRUCE ST 2007 PENN TOWER
PHILADELPHIA, PA 19104
(215) 349-8143
1104800085MS. ROSEMARY THERESA MCMENAMIN CRNP
Individual
Nurse Practitioner (Adult Health)3400 SPRUCE ST GOUND FLOOR SILVERSTEIN
PHILADELPHIA, PA 19104
(215) 662-6963
1578541298MS. LYNN GODMILOW MSW
Individual
Genetic Counselor, MS3400 SPRUCE ST ROOM 538 MALONEY BUILDING
PHILADELPHIA, PA 19104
(215) 662-4740
1790757128DR. RUTH HERMAN STEINMAN M.D.
Individual
Psychiatry & Neurology (Psychiatry)3400 SPRUCE ST 2016 PENN TOWER
PHILADELPHIA, PA 19104
(215) 615-0534
1780636399 JUDITH ANNE O' DONNELL MD
Individual
Internal Medicine (Infectious Disease)3400 SPRUCE ST 3 SILVERSTEIN
PHILADELPHIA, PA 19104
(215) 662-6932
1942257068UNIVERSITY OF PENN-RAD ONC
Organization
Radiology (Radiation Oncology)3400 SPRUCE ST 2 DONNER BUILDING
PHILADELPHIA, PA 19104
(215) 662-2428
1205875705 MONICA R PAMMER PH
Individual
Physician Assistant3400 SPRUCE ST GROUNDS RHOADS PAVILION
PHILADELPHIA, PA 19104
(215) 662-6779
1477592970 WILLIAM BAXT MD
Individual
Emergency Medicine3400 SPRUCE ST GROUND SILVER STE N BLDG
PHILADELPHIA, PA 19104
(215) 662-6963
1295774701 DAVID A LENROW MD
Individual
Rehabilitation Practitioner3400 SPRUCE ST 1 GRAND WHITE BLDG
PHILADELPHIA, PA 19104
(215) 662-3261
1205877669 CHARALAMBOS I ANDREADIS MD
Individual
Internal Medicine (Medical Oncology)3400 SPRUCE ST 15 PENN TOWER
PHILADELPHIA, PA 19104
(215) 662-3914
1740221100 ROLF SCHLICHTER MD
Individual
Anesthesiology3400 SPRUCE ST 4 DULLES BUILDING
PHILADELPHIA, PA 19104
(215) 349-8310
1912948977 CHRISTOPHER JOHN LOGUE MD
Individual
Emergency Medicine3400 SPRUCE ST
PHILADELPHIA, PA 19104
(215) 662-6963
1700827581 BRETT B GUTSCHE MD
Individual
Anesthesiology3400 SPRUCE ST 4 DULLES BUILDING
PHILDELPHIA, PA 19104
(215) 349-8310
1942241641 ALISON W LOREN MD
Individual
Internal Medicine (Hematology & Oncology)3400 SPRUCE ST 15 PENN TOWER
PHILADELPHIA, PA 19104
(215) 662-3914
1487695102 SUSAN M DOMCHEK MD
Individual
Internal Medicine (Medical Oncology)3400 SPRUCE ST 15 PENN TOWER
PHILADELPHIA, PA 19104
(215) 662-3914
1174566970 CAROLYN L CAMBOR MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3400 SPRUCE ST
PHILADELPHIA, PA 19104
(215) 614-1428
1902849292 DU PONT GUERRY IV MD
Individual
Internal Medicine (Hematology)3400 SPRUCE ST 15 PENN TOWER
PHILADELPHIA, PA 19104
(215) 662-3914

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.