PROHEALTH CLINIC
NPI 1679156632
Clinic/Center - Primary Care in Bensalem, PA
About Prohealth Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROHEALTH CLINIC (NPI 1679156632) is a healthcare organization registered as a primary care in Bensalem, Pennsylvania and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through November 3, 2028, maintains a secondary practice location in Philadelphia, and lists Sibi Mathew, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prohealth Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Prohealth Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 39D2271618
Prohealth Clinic · Bensalem, 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 Prohealth Clinic's NPI number?
The NPI number for Prohealth Clinic is 1679156632. It was assigned to this organization in the NPPES registry on April 28, 2021.
Where is Prohealth Clinic located?
Prohealth Clinic is located at 2846 Knights Rd Ste B, Bensalem, PA 19020. The listed phone number is (215) 244-9894.
What is Prohealth Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Prohealth Clinic enrolled in Medicare?
Yes. Prohealth Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prohealth Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Prohealth Clinic, in Family Practice and Nurse Practitioner. 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 and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Prohealth Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D2271618) is associated with this NPI, valid through November 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Prohealth Clinic was last updated on August 21, 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.
# Prohealth Clinic · NPI 1679156632
Primary Care organization in Bensalem, Pennsylvania. Organization record, active in the CMS NPPES registry since April 28, 2021.
## Identity
- **NPI:** 1679156632 (Entity type: Organization)
- **Enumerated:** April 28, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Sibi Mathew, OWNER
## Practice location
- **Address:** 2846 KNIGHTS RD STE B, Bensalem, PA 19020-3552
- **Phone:** (215) 244-9894 · **Fax:** (215) 244-9896
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 21, 2024
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1679156632) · Data from the CMS NPPES public registry.