MONTCO WOUND AND PRIMARY CARE CENTER PC
NPI 1376351965
Family Medicine - Adult Medicine in King Of Prussia, PA

Active since December 27, 2024
583 SHOEMAKER RD, KING OF PRUSSIA, PA 19406(484) 378-2424(484) 723-5324 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 25, 2025, Jan 7, 2025, Dec 27, 2024 (3 updates tracked since 2024).

About Montco Wound And Primary Care Center Pc NPPES

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

MONTCO WOUND AND PRIMARY CARE CENTER PC (NPI 1376351965) is a healthcare organization registered as an adult medicine in King Of Prussia, Pennsylvania and active in the NPI registry since December 2024. The organization lists Anthony Michael Letizio, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1376351965
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameMONTCO WOUND AND PRIMARY CARE CENTER PC
Location Address583 SHOEMAKER RDKing Of Prussia, PA 19406-4201
Mailing Address583 Shoemaker RdKing Of Prussia, PA 19406-4201 · (484) 378-2424 · Fax (484) 723-5324
Fax(484) 723-5324
Organization SubpartNo
Authorized OfficialAnthony Michael LetizioAuthorized Official · (484) 378-2424
Enumeration DateDecember 27, 2024
Last NPPES UpdateFebruary 25, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
✔ NPI 1376351965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
583 SHOEMAKER RD, King Of Prussia, PA 19406

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Montco Wound And Primary Care Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Montco Wound And Primary Care Center PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1568167732
583 SHOEMAKER RD
King Of Prussia, PA 19406
(484) 378-2424
✔ PECOSSame address
Family Practice
NPI 1811197064
583 SHOEMAKER RD
King Of Prussia, PA 19406
(484) 378-2424
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1497207708
583 SHOEMAKER RD
King Of Prussia, PA 19406
(484) 378-2424
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083425219
583 SHOEMAKER RD
King Of Prussia, PA 19406
(484) 723-5324
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1659124352
100 E LANCASTER AVENUE SUITE 361 MOB EAST
Wynnewood, PA 19096
(484) 476-8390
✔ PECOS✔ Accepts Medicare8.1 mi
Nurse Practitioner
NPI 1073988374
521 W GIRARD AVE
Philadelphia, PA 19123
(215) 440-9547
✔ PECOS✔ Accepts Medicare14 mi

Source: 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 Montco Wound And Primary Care Center PC's NPI number?

The NPI number for Montco Wound And Primary Care Center PC is 1376351965. It was assigned to this organization in the NPPES registry on December 27, 2024.

Where is Montco Wound And Primary Care Center PC located?

Montco Wound And Primary Care Center PC is located at 583 Shoemaker Rd, King Of Prussia, PA 19406. The listed phone number is (484) 378-2424.

What is Montco Wound And Primary Care Center PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Montco Wound And Primary Care Center PC enrolled in Medicare?

Yes. Montco Wound And Primary Care Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Montco Wound And Primary Care Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Montco Wound And Primary Care Center PC. 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 Nurse Practitioner (5) and Family Practice (1). 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.

When was this NPI record last updated?

The NPPES record for Montco Wound And Primary Care Center PC was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.