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PENN MEDICINE-PMA
NPI 1013582840
Internal Medicine - Pulmonary Disease in Audubon, PA

Active since May 24, 2021CLIA 39D1105973 · Waiver
2650 EGYPT RD, AUDUBON, PA 19403(215) 662-6187 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2022, May 24, 2021 (2 updates tracked since 2021).

About Penn Medicine-pma NPPES

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

PENN MEDICINE-PMA (NPI 1013582840) is a healthcare organization registered as a pulmonary disease in Audubon, Pennsylvania and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through March 18, 2027 and lists Chante Jackson, Payer Supervisor, as its authorized official.

NPPES Registry Identity

NPI1013582840
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NamePENN MEDICINE-PMA
Location Address2650 EGYPT RDAudubon, PA 19403-2302
Mailing Address150 Monument RdBala Cynwyd, PA 19004-1702
Phone(215) 662-6187
Organization SubpartNo
Authorized OfficialChante JacksonPayer Supervisor · (267) 207-7303
Enumeration DateMay 24, 2021
Last NPPES UpdateFebruary 4, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2022
✔ NPI 1013582840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
2650 EGYPT RD, Audubon, PA 19403
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Penn Medicine-pma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

63

Medicare enrollment records show 63 clinicians reassign Medicare billing to Penn Medicine-Pma, which bills Medicare for the services they deliver. Of these, 30 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Family Practice22
Nurse Practitioner20
Internal Medicine13
Pulmonary Disease3
Endocrinology2
General Practice1
Geriatric Medicine1
Rheumatology1

Nearest to this location (20)

See all 63
Mary Leary, DO
Family Practice
NPI 1104810860
3301 RIDGE PIKE
Eagleville, PA 19403
(610) 539-9100
✔ PECOS✔ Accepts Medicare2.1 mi
Shrina Patel, D.O.
Family Practice
NPI 1720461908
78 SECOND AVENUE
Collegeville, PA 19426
(610) 409-9999
✔ PECOS✔ Accepts Medicare4.4 mi
Leanne Gauger Knapp, MSN, APRN, FNP-BC
Nurse Practitioner
NPI 1124661939
78 SECOND AVE
Collegeville, PA 19426
(610) 409-9999
✔ PECOS✔ Accepts Medicare4.4 mi
Burton Ginsberg, D.O.
Family Practice
NPI 1013080670
78 SECOND AVE
Collegeville, PA 19426
(610) 409-9999
✔ PECOS4.4 mi
Kendall Cliatt
Family Practice
NPI 1407483266
2705 DEKALB PIKE # 202
East Norriton, PA 19401
(610) 275-7240
✔ PECOS✔ Accepts Medicare4.7 mi
Joanna Kusmirek, MD
Family Practice
NPI 1881740850
826 MAIN STREET SUITE 100
Phoenixville, PA 19460
(610) 933-8484
✔ PECOS✔ Accepts Medicare5.8 mi
Mark Brown, MD
Internal Medicine
NPI 1467491050
826 MAIN ST SUITE 100
Phoenixville, PA 19460
(610) 933-8484
✔ PECOS✔ Accepts Medicare5.8 mi
Raymond Kovalski, M.D
Pulmonary Disease
NPI 1861588006
826 MAIN STREET SUITE 100
Phoenixville, PA 19460
(610) 933-8484
✔ PECOS✔ Accepts Medicare5.8 mi
Jillian Wawrzyniak, MD
Family Practice
NPI 1508128398
826 MAIN STREET SUITE 100
Phoenixville, PA 19460
(610) 933-8484
✔ PECOS✔ Accepts Medicare5.8 mi
Janet Zolli, MD
Internal Medicine
NPI 1699755843
826 MAIN STREET
Phoenixville, PA 19460
(610) 933-8484
✔ PECOS✔ Accepts Medicare5.8 mi
Kailash Kc, DO
Family Practice
NPI 1013582113
826 MAIN STREET SUITE 100
Phoenixville, PA 19460
(832) 316-1019
✔ PECOS✔ Accepts Medicare5.8 mi
Leila Dumagsa-Mcgowan, MD
Family Practice
NPI 1134315658
824 MAIN STREET SUITE 100
Phoenixville, PA 19460
(610) 935-7300
✔ PECOS✔ Accepts Medicare5.8 mi
Victoria Korkus, C.R.N.P.
Nurse Practitioner
NPI 1669792313
824 MAIN ST SUITE 307
Phoenixville, PA 19460
(610) 482-6500
✔ PECOS✔ Accepts Medicare5.8 mi
Justin Lannan, NP-BC
Nurse Practitioner
NPI 1760217541
824 MAIN ST STE 100
Phoenixville, PA 19460
(610) 935-7300
✔ PECOS✔ Accepts Medicare5.8 mi
Hang Nguyen, M.D
Internal Medicine
NPI 1295817013
824 MAIN ST SUITE 100
Phoenixville, PA 19460
(610) 933-8484
✔ PECOS✔ Accepts Medicare5.8 mi
Darius Clemons, CRNP, FNP-C
Nurse Practitioner
NPI 1366034639
2901 JOLLY RD
Plymouth Meeting, PA 19462
(610) 272-8221
✔ PECOS✔ Accepts Medicare6.0 mi
Somera Ali, M.D.
Endocrinology
NPI 1215079330
410 W LINFIELD TRAPPE RD STE 100
Limerick, PA 19468
(610) 495-2300
✔ PECOS✔ Accepts Medicare9.3 mi
Sarah Keeley-Cotov, MSN, FNP-C
Nurse Practitioner
NPI 1427844224
410 W LINFIELD TRAPPE RD STE 100
Limerick, PA 19468
(610) 495-2650
✔ PECOS✔ Accepts Medicare9.3 mi
Matthew Naegle, M.D.
Internal Medicine
NPI 1033291844
410 W LINFIELD TRAPPE RD STE 100
Limerick, PA 19468
(610) 495-2300
✔ PECOS✔ Accepts Medicare9.3 mi
Janice Sumner, MD
General Practice
NPI 1508919440
420 W LINFIELD RD STE. 2000
Limerick, PA 19468
(610) 495-2650
✔ PECOS✔ Accepts Medicare9.4 mi
See all 63 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D1105973

Penn Medicine Home Health · Bala Cynwyd, PA
Active · expires Mar 18, 2027
CLIA Number39D1105973
Laboratory TypeHome Health Agency
Certificate Effective DateMarch 19, 2025
Certificate Expiration DateMarch 18, 2027
Laboratory DirectorDr. Sandra Jost
Laboratory Phone(610) 747-3400
Laboratory LocationPenn Medicine Home Health150 Monument Rd, Suite 600, Bala Cynwyd, PA 19004
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Penn Medicine-Pma's NPI number?

The NPI number for Penn Medicine-Pma is 1013582840. It was assigned to this organization in the NPPES registry on May 24, 2021.

Where is Penn Medicine-Pma located?

Penn Medicine-Pma is located at 2650 Egypt Rd, Audubon, PA 19403. The listed phone number is (215) 662-6187.

What is Penn Medicine-Pma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Penn Medicine-Pma enrolled in Medicare?

Yes. Penn Medicine-Pma is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Penn Medicine-Pma?

According to the CMS Revalidation Reassignment List (October 2026 release), 63 clinicians in 8 Medicare specialties reassign their Medicare billing to Penn Medicine-Pma. A 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 the clinician's services. The largest specialties are Family Practice (22), Nurse Practitioner (20) and Internal Medicine (13). Of these, 30 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Penn Medicine-Pma hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1105973) is associated with this NPI, valid through March 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Penn Medicine-Pma was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.