ACADEMIC UROLOGY OF PA, LLC
NPI 1336439645
Clinic/Center - Ambulatory Surgical in Bryn Mawr, PA

Active since April 08, 2011
919 CONESTOGA RD, BUILDING 1 SUITE 300, BRYN MAWR, PA 19010(610) 525-6580(610) 525-3664 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2024, Mar 4, 2021 (2 updates tracked since 2021).

About Academic Urology Of Pa, Llc NPPES

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

ACADEMIC UROLOGY OF PA, LLC (NPI 1336439645) is a healthcare organization registered as an ambulatory surgical in Bryn Mawr, Pennsylvania and active in the NPI registry since April 2011. The organization maintains 5 additional practice locations and lists David J Ellis, President, as its authorized official.

NPPES Registry Identity

NPI1336439645
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameACADEMIC UROLOGY OF PA, LLC
Location Address919 CONESTOGA RD, BUILDING 1 SUITE 300Bryn Mawr, PA 19010-1352
Mailing Address211 S Gulph Rd, Suite 200King Of Prussia, PA 19406-3112 · (610) 382-5910 · Fax (610) 382-5918
Fax(610) 525-3664
Organization SubpartNo
Authorized OfficialDavid J EllisPresident · (610) 382-5910
Enumeration DateApril 8, 2011
Last NPPES UpdateApril 3, 20242 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1336439645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in PA · 50421501
919 CONESTOGA RD, Bryn Mawr, PA 19010

Secondary Practice Locations 5

Location 1915 Old Fern Hill Rd Ste 202West Chester, PA 19380-3431 · Phone (610) 692-4270 · Fax (610) 692-2566
Location 22 Industrial Blvd Ste 120Paoli, PA 19301-1645 · Phone (610) 644-2165 · Fax (610) 644-2165
Location 320 N Sunnybrook RdPottstown, PA 19464-2946 · Phone (610) 935-9010 · Fax (610) 935-1510
Location 4200 E State St Ste 205Media, PA 19063-3434 · Phone (610) 565-2776 · Fax (610) 565-4247
Location 51055 Andrew Dr Ste AWest Chester, PA 19380-3446 · Phone (610) 692-4270

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Academic Urology Of Pa, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Academic Urology Of PA, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Urology
NPI 1891056792
919 CONESTOGA RD STE 300
Bryn Mawr, PA 19010
(610) 525-6580
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1760740062
20 N SUNNYBROOK RD
Pottstown, PA 19464
(610) 323-5550
✔ PECOS✔ Accepts Medicare21 mi
Urology
NPI 1487764486
20 N SUNNYBROOK RD
Pottstown, PA 19464
(610) 323-5550
✔ PECOS✔ Accepts Medicare21 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
2,369 services1,946 patients
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310
This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.
311 services299 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
242 services241 patients
Exam with injections of chemical for destruction of bladder using an endoscope 52287
This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.
114 services79 patients
Insertion of sacral nerve neurostimulator electrode array 64561
The insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.
105 services53 patients
Simple change of bladder tube 51705
A simple change of bladder tube involves replacing your current urinary drainage tube with a new one. This is done to maintain hygiene and prevent infections. It's a straightforward process, usually causing minimal discomfort, and helps ensure your body can properly dispose of waste fluids.
94 services15 patients

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 Academic Urology Of PA, LLC's NPI number?

The NPI number for Academic Urology Of PA, LLC is 1336439645. It was assigned to this organization in the NPPES registry on April 8, 2011.

Where is Academic Urology Of PA, LLC located?

Academic Urology Of PA, LLC is located at 919 Conestoga Rd Building 1 Suite 300, Bryn Mawr, PA 19010. The listed phone number is (610) 525-6580.

What is Academic Urology Of PA, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Academic Urology Of PA, LLC enrolled in Medicare?

Yes. Academic Urology Of PA, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Academic Urology Of PA, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Urology, reassign their Medicare billing to Academic Urology Of PA, LLC. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Academic Urology Of PA, LLC was last updated on April 3, 2024. 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.