CENTRAL SQUARE MEDICAL CENTER - GRANT AVE
NPI 1316072077
Family Medicine in Philadelphia, PA
About Central Square Medical Center - Grant Ave NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTRAL SQUARE MEDICAL CENTER - GRANT AVE (NPI 1316072077) is a healthcare organization registered as a family medicine in Philadelphia, Pennsylvania and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through February 20, 2027 and lists Ronald M. Kumor, Senior Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 2
Other Identifiers 9
Group Practice 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)
Central Square Medical Center - Grant Ave is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
488Medicare enrollment records show 488 clinicians reassign Medicare billing to Central Square Medical Center - Grant Ave, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 261 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 32
Nearest to this location (20)
See all 488Philadelphia, PA 19114
Philadelphia, PA 19114
Philadelphia, PA 19114
Philadelphia, PA 19114
Philadelphia, PA 19114
Philadelphia, PA 19114
Philadelphia, PA 19114
Philadelphia, PA 19114
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 39D2318958
Central Square Medical Ctr · Philadelphia, PAFrequently 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 Aria Health Physician Services's NPI number?
The NPI number for Aria Health Physician Services is 1316072077. It was assigned to this organization in the NPPES registry on February 22, 2007. The provider is doing business as Central Square Medical Center - Grant Ave and Aria Health Physician Services - Central Square Medical.
Where is Aria Health Physician Services located?
Aria Health Physician Services is located at 9501 Roosevelt Blvd Suite 206-B, Philadelphia, PA 19114. The listed phone number is (215) 671-8900.
What is Aria Health Physician Services's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Aria Health Physician Services enrolled in Medicare?
Yes. Aria Health Physician Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Aria Health Physician Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 488 clinicians in 32 Medicare specialties reassign their Medicare billing to Aria Health Physician Services. 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 Internal Medicine (84), Emergency Medicine (69) and Nurse Practitioner (67). Of these, 10 practice at this address and 261 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Aria Health Physician Services hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D2318958) is associated with this NPI, valid through February 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Aria Health Physician Services accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Aria Health Physician Services 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 Aria Health Physician Services was last updated on October 12, 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.
# Central Square Medical Center - Grant Ave · NPI 1316072077
Family Medicine organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since February 22, 2007.
## Identity
- **NPI:** 1316072077 (Entity type: Organization)
- **Enumerated:** February 22, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Aria Health Physician Services
- **Also known as:** ARIA HEALTH PHYSICIAN SERVICES - CENTRAL SQUARE MEDICAL (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Ronald Kumor, SENIOR VICE PRESIDENT
## Practice location
- **Address:** 9501 ROOSEVELT BLVD, SUITE 206-B, Philadelphia, PA 19114-1025
- **Phone:** (215) 671-8900 · **Fax:** (215) 671-1272
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 488 clinicians in 32 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (84), Emergency Medicine (69), Nurse Practitioner (67); 10 practice at this address and 261 within 10 miles; [full list](https://npiprofile.com/npi/1316072077/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 12, 2022
- **Other identifiers:** Medicaid 1007526250039 (PA); Medicaid 1007526250051 (PA); Other 10236 (PA); and 6 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1316072077) · Data from the CMS NPPES public registry.