DR. GEORGENE HERGENROEDER SUMMERVILL MD
NPI 1225560352
Pediatrics - Pediatric Pulmonology in Philadelphia, PA
About Dr. Georgene Hergenroeder Summervill Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GEORGENE HERGENROEDER SUMMERVILL MD (NPI 1225560352) is an individual pediatric pulmonology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD480615) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Georgene Hergenroeder Summervill Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Georgene Summervill reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,225 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Georgene Summervill's NPI number?
The NPI number for Georgene Summervill is 1225560352. It was assigned to this individual provider in the NPPES registry on March 29, 2017.
Where is Georgene Summervill located?
Georgene Summervill practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-3749.
What is Georgene Summervill's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.
Is Georgene Summervill enrolled in Medicare?
Yes. Georgene Summervill is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Georgene Summervill's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Georgene Summervill reassigns Medicare benefits to Childrens Health Care Associates, Inc (Philadelphia, PA). The 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 Georgene Summervill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Georgene Summervill was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 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.
# Dr. Georgene Hergenroeder Summervill, MD · NPI 1225560352
Pediatric Pulmonology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 29, 2017.
## Identity
- **NPI:** 1225560352 (Entity type: Individual)
- **Enumerated:** March 29, 2017
- **Primary specialty:** Pediatrics - Pediatric Pulmonology · taxonomy 2080P0214X
- **State license:** MD480615 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 CIVIC CENTER BLVD, Philadelphia, PA 19104-3364
- **Phone:** (215) 590-3749
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Childrens Health Care Associates, Inc (NPI 1033204086, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1225560352) · Data from the CMS NPPES public registry.