PHA - ADULT MEDICINE
NPI 1568420495
Internal Medicine in Philadelphia, PA

Active since May 02, 2006CLIA 39D0981836 · Waiver
1740 SOUTH STREET, SUITE 300, PHILADELPHIA, PA 19146(215) 732-0876(215) 732-1383 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, May 18, 2017, Mar 30, 2017 (3 updates tracked since 2017).

About Pha - Adult Medicine NPPES

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

PHA - ADULT MEDICINE (NPI 1568420495) is a healthcare organization registered as an internal medicine in Philadelphia, Pennsylvania and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through January 8, 2027 and lists Wilbert Roy Warren, President, as its authorized official.

NPPES Registry Identity

NPI1568420495
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePHILADELPHIA HEALTH ASSOCIATES - ADULT MEDICINE, P.C.
Location Address1740 SOUTH STREET, SUITE 300Philadelphia, PA 19146-1514
Mailing Address1740 South St Ste 402Philadelphia, PA 19146-1514 · (215) 732-0876 · Fax (215) 732-4162
Fax(215) 732-1383
Organization SubpartNo
Authorized OfficialWilbert Roy WarrenPresident · (215) 732-0876
Enumeration DateMay 2, 2006
Last NPPES UpdateOctober 14, 20243 updates tracked since enumeration
NPPES CertifiedOctober 14, 2024
✔ NPI 1568420495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
1740 SOUTH STREET, Philadelphia, PA 19146

Other Names 1

Doing Business AsPha - Adult Medicine

Other Identifiers 1

Medicaid0018443260005PA

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

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)

Pha - Adult Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pha - Adult Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1548228489
1740 SOUTH ST STE 300
Philadelphia, PA 19146
(215) 732-0876
✔ PECOS✔ Accepts MedicareSame address

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 39D0981836

Pha Adult Medicine · Philadelphia, PA
Active · expires Jan 8, 2027
CLIA Number39D0981836
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorWilbert R. Warren MD
Laboratory Phone(215) 732-0876
Laboratory LocationPha Adult Medicine1740 South Street Suite 402, Philadelphia, PA 19146
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Philadelphia Health Associates - Adult Medicine, P.C.'s NPI number?

The NPI number for Philadelphia Health Associates - Adult Medicine, P.C. is 1568420495. It was assigned to this organization in the NPPES registry on May 2, 2006. The provider is doing business as Pha - Adult Medicine.

Where is Philadelphia Health Associates - Adult Medicine, P.C. located?

Philadelphia Health Associates - Adult Medicine, P.C. is located at 1740 South Street Suite 300, Philadelphia, PA 19146. The listed phone number is (215) 732-0876.

What is Philadelphia Health Associates - Adult Medicine, P.C.'s specialty?

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

Is Philadelphia Health Associates - Adult Medicine, P.C. enrolled in Medicare?

Yes. Philadelphia Health Associates - Adult Medicine, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Philadelphia Health Associates - Adult Medicine, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Philadelphia Health Associates - Adult Medicine, P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Philadelphia Health Associates - Adult Medicine, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0981836) is associated with this NPI, valid through January 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Philadelphia Health Associates - Adult Medicine, P.C. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Philadelphia Health Associates - Adult Medicine, P.C. 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 Philadelphia Health Associates - Adult Medicine, P.C. was last updated on October 14, 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.