OrganizationActive
Academic Urology of PA, LLC
NPI 1366799140 · Radiation Oncology Physician · King of Prussia, PA
Provider details
- NPI number
- 1366799140
- Entity type
- Organization
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Ellis, President(610) 525-6580
- License
- MD031222E (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
211 S Gulph Rd
Suite 200
King of Prussia, PA 19406-3112
Phone: (610) 382-5910
Fax: (610) 382-5918
Street-level locationGet directions
Mailing address
211 S Gulph Rd
King of Prussia, PA 19406-3112
Registry dates
- Enumerated
- 2012-08-10
- Last updated
- 2012-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.