BROAD TOP AREA MEDICAL CENTER INC
NPI 1063514453
Clinic/Center - Federally Qualified Health Center (FQHC) in Broad Top, PA
About Broad Top Area Medical Center Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROAD TOP AREA MEDICAL CENTER INC (NPI 1063514453) is a healthcare organization registered as a federally qualified health center (fqhc) in Broad Top, Pennsylvania and active in the NPI registry since September 2006. The organization lists Shani Reed, Director, Enrolment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Broad Top Area Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
31Medicare enrollment records show 31 clinicians reassign Medicare billing to Broad Top Area Medical Center Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 31Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Broad Top Area Medical Center Inc's NPI number?
The NPI number for Broad Top Area Medical Center Inc is 1063514453. It was assigned to this organization in the NPPES registry on September 5, 2006.
Where is Broad Top Area Medical Center Inc located?
Broad Top Area Medical Center Inc is located at 4133 Medical Center Dr, Broad Top, PA 16621. The listed phone number is (814) 635-2916.
What is Broad Top Area Medical Center Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Broad Top Area Medical Center Inc enrolled in Medicare?
Yes. Broad Top Area Medical Center Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Broad Top Area Medical Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 7 Medicare specialties reassign their Medicare billing to Broad Top Area Medical Center Inc. 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 (12), Nurse Practitioner (7) and Clinical Social Worker (3). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Broad Top Area Medical Center Inc accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and DentaQuest list Broad Top Area Medical Center Inc 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.
When was this NPI record last updated?
The NPPES record for Broad Top Area Medical Center Inc was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.
# Broad Top Area Medical Center Inc · NPI 1063514453
Federally Qualified Health Center (FQHC) organization in Broad Top, Pennsylvania. Organization record, active in the CMS NPPES registry since September 5, 2006.
## Identity
- **NPI:** 1063514453 (Entity type: Organization)
- **Enumerated:** September 5, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Shani Reed, DIRECTOR, ENROLMENT
## Practice location
- **Address:** 4133 MEDICAL CENTER DR, Broad Top, PA 16621-9001
- **Phone:** (814) 635-2916 · **Fax:** (814) 635-2918
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 31 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (12), Nurse Practitioner (7), Clinical Social Worker (3); 4 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1063514453/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 28, 2026
- **Other identifiers:** Medicaid 1007496930006 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1063514453) · Data from the CMS NPPES public registry.