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DR. WALTER E BANTOM III M.D.
NPI 1194741710
Internal Medicine in Philadelphia, PA

Active since July 15, 2006PECOS EnrolledAccepts Medicare Assignment
5615 W GIRARD AVE, PHILADELPHIA, PA 19131(215) 477-5800(215) 879-8447 Get Directions Write a Review

NPPES record last updated: April 10, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Walter E Bantom Iii M.d. NPPES

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

DR. WALTER E BANTOM III M.D. (NPI 1194741710) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD04394E) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Temple University School Of Medicine (1981).

NPPES Registry Identity

NPI1194741710
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. WALTER E BANTOM IIICredential: M.D.
Location Address5615 W GIRARD AVEPhiladelphia, PA 19131-4128
Mailing Address5615 W Girard AvePhiladelphia, PA 19131-4128 · (215) 477-5800 · Fax (215) 879-8447
Phone(215) 477-5800
Fax(215) 879-8447
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 1981
Enumeration DateJuly 15, 2006
Last NPPES UpdateApril 10, 2013
✔ NPI 1194741710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD04394E
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.
5615 W GIRARD AVE, Philadelphia, PA 19131
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Other Identifiers 4

Other218045PA · Medicare Id - Type Unspecified
Medicare UPINE52860PA
Other0110990001PA · Independence Blue Cross
Medicaid1172977PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Walter E Bantom Iii M.d. 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 ID3779771407
PECOS Enrollment IDI20101222000689
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.

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Mercy Catholic Medical Center- Mercy Fitzgerald

Acute Care Hospitals · Darby, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390156
Location1500 Lansdowne AveDarby, PA 19023 · Delaware County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

MELISSA J TUCKER NP
Nurse Practitioner (Family)
5615 W GIRARD AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 477-5800
DR. DANIEL A JONES M.D.
Internal Medicine
5615 W GIRARD AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 477-8200

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 Walter Bantom's NPI number?

The NPI number for Walter Bantom is 1194741710. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Walter Bantom located?

Walter Bantom practices at 5615 W Girard Ave, Philadelphia, PA 19131. The listed phone number is (215) 477-5800.

What is Walter Bantom's specialty?

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

Is Walter Bantom enrolled in Medicare?

Yes. Walter Bantom 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.

Is Walter Bantom affiliated with any hospitals?

According to CMS data, Walter Bantom is affiliated with Hospital Of Univ Of Pennsylvania and Mercy Catholic Medical Center- Mercy Fitzgerald.

When was this NPI record last updated?

The NPPES record for Walter Bantom was last updated on April 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.