KATHRYN STROUP (M.D.) – Pediatrics Physician, NPI 1063677979

KATHRYN STROUP (M.D.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD439994 (PA). The NPI Number for KATHRYN STROUP (M.D.) is 1063677979

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN STROUP (M.D.)
NPI
1063677979
Phone
(215) 427-5000
Address
ERIE AVE AT FRONT ST.
Enumeration Date
21 July 2008
Last Update Date
22 May 2024

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2154278363
Graduation Year
2007 (19 years ago)
PAC ID
2365568292
Group Practice PAC ID
7315372323
Professional Enrollment ID
I20100928000985
Address ID
PA191246018PH300XXAVEX503
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,236 PEDIATRIC MEDICINE in PA

Provider Addresses for KATHRYN STROUP (M.D.)

  • ERIE AVE AT FRONT ST.

    ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN

    PHILADELPHIA, PA 191341095

    Phone: (215) 427-5000

    Type: Mailing

  • PO BOX 13579

    READING, PA 196123579

    Phone: (484) 628-1324

    Type: Mailing

  • 160 E ERIE AVE

    PHILADELPHIA, PA 191341011

    Phone: (215) 427-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100928000985IPediatric MedicinePATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19134)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315372323View full group profile
NameSpecialtyState
Pediatric Medicine, EndocrinologyPA
Pediatric Medicine, Cardiovascular Disease (Cardiology), Pediatric MedicinePA
Pediatric Medicine, Infectious DiseasePA
N E P H R O L O G YNY
Certified Registered Nurse Anesthetist (Crna)PA
Allergy/Immunology, Pediatric MedicinePA
Certified Registered Nurse Anesthetist (Crna)PA
A N E S T H E S I O L O G YIN
Nurse PractitionerNY
Pediatric Medicine, Internal MedicinePA

Reviews

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Frequently asked questions

Can I verify KATHRYN STROUP (M.D.) with an NPI only?
You can start verification with NPI 1063677979 for KATHRYN STROUP (M.D.), then check state licensing separately.
Does CMS list KATHRYN STROUP (M.D.) as active?
Yes — KATHRYN STROUP (M.D.) is active in the NPI listing used on this page.
What healthcare role does KATHRYN STROUP (M.D.) hold?
Scheduling teams often label KATHRYN STROUP (M.D.) under Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Does KATHRYN STROUP (M.D.) list a practice location?
Patients near Philadelphia, Pennsylvania may find KATHRYN STROUP (M.D.) in results; validate coverage separately.
Why does KATHRYN STROUP (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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