Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roman Krutikov, PA-C

Individual provider Physician Assistant · NPI 1760099105

Roman Krutikov, PA-C is a Physician Assistant in Eagleville, Pennsylvania. Graduated from Temple University School of Medicine in 2020, 6 years ago. Practices with Aria Health Physician Services, a 480-clinician group and accepts Medicare assignment.

Years since qualifying
6
Trained at
Temple University School of Medicine
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

100 Eagleville Rd
Eagleville, PA 19403-1829
Phone: (267) 255-3752
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1760099105
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 29, 2020
Last updated in NPPESSeptember 29, 2020
Certification dateSeptember 29, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Aria Health Physician Services — 480 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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