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MDVIP MEDICAL GROUP PA LLC
NPI 1043753213
Internal Medicine in Horsham, PA

Active since November 21, 2016CLIA 39D0941217 · Waiver
200 LAKESIDE DR STE 222, HORSHAM, PA 19044(215) 346-2821(215) 346-2823 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2023, Nov 21, 2016 (2 updates tracked since 2016).

About Mdvip Medical Group Pa Llc NPPES

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

MDVIP MEDICAL GROUP PA LLC (NPI 1043753213) is a healthcare organization registered as an internal medicine in Horsham, Pennsylvania and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through February 22, 2028 and lists Andrea Klemes, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1043753213
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMDVIP MEDICAL GROUP PA LLC
Location Address200 LAKESIDE DR STE 222Horsham, PA 19044-2321
Mailing Address4950 Communication Ave, Suite 100Boca Raton, FL 33431-3307 · (561) 982-4300 · Fax (561) 953-6617
Phone(215) 346-2821
Fax(215) 346-2823
Organization SubpartYesParent: Mdvip Medical Group Holdings Llc
Authorized OfficialAndrea KlemesSole Member · (561) 982-4300
Enumeration DateNovember 21, 2016
Last NPPES UpdateNovember 10, 20232 updates tracked since enumeration
NPPES CertifiedNovember 10, 2023
✔ NPI 1043753213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
200 LAKESIDE DR STE 222, Horsham, PA 19044
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 39D0941217

Mdvip Medical Group PA, PLLC · Horsham, PA
Active · expires Feb 22, 2028
CLIA Number39D0941217
Laboratory TypePhysician Office
Certificate Effective DateFebruary 23, 2026
Certificate Expiration DateFebruary 22, 2028
Laboratory DirectorDr. Diana M. Rocks
Laboratory Phone(215) 346-2821
Laboratory LocationMdvip Medical Group PA, PLLC200 Lakeside Drive, Suite 222, Horsham, PA 19044
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DIANA MARIE TYLER ROCKS D.O.
Internal Medicine
200 LAKESIDE DR STE 222
HORSHAM, PA 19044
Montgomery County (215) 346-2821

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 Mdvip Medical Group PA LLC's NPI number?

The NPI number for Mdvip Medical Group PA LLC is 1043753213. It was assigned to this organization in the NPPES registry on November 21, 2016.

Where is Mdvip Medical Group PA LLC located?

Mdvip Medical Group PA LLC is located at 200 Lakeside Dr Ste 222, Horsham, PA 19044. The listed phone number is (215) 346-2821.

What is Mdvip Medical Group PA LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Mdvip Medical Group PA LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0941217) is associated with this NPI, valid through February 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mdvip Medical Group PA LLC was last updated on November 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.