CCHS Radiation Oncology PA – Radiation Oncology Physician, NPI 1295574523
Radiation Oncology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CCHS Radiation Oncology PA
30 Lawrence Rd Ste 300
Broomall, PA 190083301
Phone: (610) 394-1350
Type: Location
4000 NEXUS DR STE E3
WILMINGTON, DE 198033000
Phone: (302) 623-7362
Type: Mailing
161 WILMINGTON W CHESTER PIKE
CHADDS FORD, PA 193179041
Phone: (610) 361-1170
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.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20240918002420 | O | Clinic/Group Practice | PA | TBD |
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.
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 19008)
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