1. Home
  2. Directory
  3. Pennsylvania
  4. Willow Grove
  5. Physical Medicine Rehabilitation
  6. NPI Profile

CONNOR M FULTZ MD
NPI 1003435132
Physical Medicine & Rehabilitation - Sports Medicine in Willow Grove, PA

Active since April 09, 2020PECOS EnrolledAccepts Medicare Assignment
2400 MARYLAND RD STE 20, WILLOW GROVE, PA 19090(800) 321-9999(267) 479-1321 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2025, Jun 15, 2020, Apr 9, 2020 (3 updates tracked since 2020).

About Connor M Fultz Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNOR M FULTZ MD (NPI 1003435132) is an individual sports medicine provider in Willow Grove, Pennsylvania, licensed in Pennsylvania (MD486957) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and is a graduate of Drexel University College Of Medicine (2020).

NPPES Registry Identity

NPI1003435132
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameCONNOR M FULTZCredential: MD
Location Address2400 MARYLAND RD STE 20Willow Grove, PA 19090-1732
Mailing Address833 Chestnut St Ste 520Philadelphia, PA 19107-4430 · (609) 677-7003
Phone(800) 321-9999
Fax(267) 479-1321
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2020
Enumeration DateApril 9, 2020
Last NPPES UpdateSeptember 2, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1003435132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in PA · MD486957
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
2400 MARYLAND RD STE 20, Willow Grove, PA 19090
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Connor M Fultz Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022439694
PECOS Enrollment IDI20241118002309
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Connor Fultz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Reconstructive Orthopaedic Associates II LLC
15 mi
Orthopaedic Surgery
833 CHESTNUT ST STE 1220
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 361 clinicians in this Medicare group
NPI 1861433278 (800) 321-9999
University Of Pittsburgh Physicians
248 mi
Internal Medicine
3436 WILLIAM PENN HWY, SUITE 166
Pittsburgh, PA 15235
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1407985674 (412) 823-6222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RYAN JUDY MD
Orthopaedic Surgery (Hand Surgery)
2400 MARYLAND RD STE 20
WILLOW GROVE, PA 19090
Montgomery County (800) 321-9999
PROF. CHAD ARTHUR KRUEGER M.D.
Orthopaedic Surgery
2400 MARYLAND RD STE 20
WILLOW GROVE, PA 19090
Montgomery County (800) 321-9999
KEVIN THOMAS ALLEN
Physician Assistant
2400 MARYLAND RD STE 20
WILLOW GROVE, PA 19090
Montgomery County (800) 321-9999
DR. VICTORIA GORDON MCCARTHY DO, MS
Family Medicine (Sports Medicine)
2400 MARYLAND RD STE 20
WILLOW GROVE, PA 19090
Montgomery County (800) 321-9999
KEVIN STRATE PA-C
Physician Assistant (Surgical)
2400 MARYLAND RD STE 20
WILLOW GROVE, PA 19090
Montgomery County (800) 321-9999
MICHAEL HAESSAM AMINI MD
Orthopaedic Surgery
2400 MARYLAND RD STE 20
WILLOW GROVE, PA 19090
Montgomery County (800) 321-9999
WILLOW GROVE OPEN MRI, INC.
Clinic/Center (Magnetic Resonance Imaging (MRI))
2400 MARYLAND RD STE 20
WILLOW GROVE, PA 19090
Montgomery County (215) 830-8700
KATHERINE MARIE BLACK OT
Occupational Therapist
2400 MARYLAND RD STE 20
WILLOW GROVE, PA 19090
Montgomery County (800) 321-9999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connor Fultz's NPI number?

The NPI number for Connor Fultz is 1003435132. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Where is Connor Fultz located?

Connor Fultz practices at 2400 Maryland Rd Ste 20, Willow Grove, PA 19090. The listed phone number is (800) 321-9999.

What is Connor Fultz's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Connor Fultz enrolled in Medicare?

Yes. Connor Fultz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Connor Fultz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Connor Fultz reassigns Medicare benefits to 2 organizations: Reconstructive Orthopaedic Associates II LLC (Philadelphia, PA) and University Of Pittsburgh Physicians (Pittsburgh, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Connor Fultz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Connor Fultz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Connor Fultz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Connor Fultz affiliated with any hospitals?

According to CMS data, Connor Fultz is affiliated with Albert Einstein Medical Center.

When was this NPI record last updated?

The NPPES record for Connor Fultz was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.