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DR. ANTONIO FUNCHES M.D.
NPI 1659630895
Family Medicine in Philadelphia, PA

Active since May 09, 2012PECOS EnrolledAccepts Medicare Assignment
7131 FRANKFORD AVE STE 39, PHILADELPHIA, PA 19135(215) 332-4164(215) 332-9638 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2023, Feb 25, 2021, Mar 27, 2018 and 1 more (4 updates tracked since 2016).

About Dr. Antonio Funches M.d. NPPES

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

DR. ANTONIO FUNCHES M.D. (NPI 1659630895) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD455675) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1659630895
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANTONIO FUNCHESCredential: M.D.
Location Address7131 FRANKFORD AVE STE 39Philadelphia, PA 19135-1008
Mailing Address101 E Olney Ave Ste 400Philadelphia, PA 19120-2470 · (215) 456-1825 · Fax (215) 456-1825
Phone(215) 332-4164
Fax(215) 332-9638
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2012
Enumeration DateMay 9, 2012
Last NPPES UpdateMay 12, 20234 updates tracked since enumeration
NPPES CertifiedMay 12, 2023
✔ NPI 1659630895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · MD455675✔ Licensed in NJ · 25MA10155100
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7131 FRANKFORD AVE STE 39, Philadelphia, PA 19135
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Secondary Practice Locations 2

Location 13840 Quakerbridge Rd Ste 110Hamilton, NJ 08619-1003 · Phone (609) 528-2144 · Fax (609) 584-1023
Location 21602 E Wadsworth Ave # 4Philadelphia, PA 19150-1004 · Phone (215) 753-9438

Other Identifiers 1

Medicaid103046777PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Antonio Funches M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335464932
PECOS Enrollment IDI20151028001056
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
131 services87 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services21 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
15 services15 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
14 services14 patients
Administration of vaccine 90471
Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19135 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Antonio Funches's NPI number?

The NPI number for Antonio Funches is 1659630895. It was assigned to this individual provider in the NPPES registry on May 9, 2012.

Where is Antonio Funches located?

Antonio Funches practices at 7131 Frankford Ave Ste 39, Philadelphia, PA 19135. The listed phone number is (215) 332-4164.

What is Antonio Funches's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Antonio Funches enrolled in Medicare?

Yes. Antonio Funches is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Antonio Funches accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Antonio Funches 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.

Is Antonio Funches affiliated with any hospitals?

According to CMS data, Antonio Funches is affiliated with Albert Einstein Medical Center.

When was this NPI record last updated?

The NPPES record for Antonio Funches was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.