MR. THEODROS MARIAM PA
NPI 1679743330
Physician Assistant - Medical in Norristown, PA

Q: What is Theodros Mariam's NPI number?

The NPI number for Theodros Mariam is 1679743330. It was assigned to this individual provider in the NPPES registry on March 9, 2008.

Q: What is Theodros Mariam's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Theodros Mariam was last updated on February 3, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 09, 2008PECOS EnrolledAccepts Medicare Assignment

1033 W GERMANTOWN PIKE, VALLEY FORGE MEDICAL CENTER & HOSPITAL, NORRISTOWN, PA 19403(610) 539-8500 Get Directions Write a Review

NPPES record last updated: February 3, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Mr. Theodros Mariam Pa NPPES

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

MR. THEODROS MARIAM PA (NPI 1679743330) is an individual medical provider in Norristown, Pennsylvania, licensed in Pennsylvania (MA053056) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Grand View Health, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1679743330

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. THEODROS MARIAMCredential: PA

Location Address1033 W GERMANTOWN PIKE, VALLEY FORGE MEDICAL CENTER & HOSPITALNorristown, PA 19403-3905

Mailing Address189 Community DrLansdale, PA 19446-6212 · (215) 855-9418

Phone(610) 539-8500

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateMarch 9, 2008

Last NPPES UpdateFebruary 3, 2010

✔ NPI 1679743330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA053056

1033 W GERMANTOWN PIKE, Norristown, PA 19403

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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

Mr. Theodros Mariam Pa 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 ID7719065333

PECOS Enrollment IDI20080423000336

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.

Hospital Affiliations CMS Care Compare 2

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

Grand View Health

Acute Care Hospitals · Sellersville, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390057

Location700 Lawn AvenueSellersville, PA 18960 · Bucks County

Emergency services

Valley Forge Medical Center And Hospital

Acute Care Hospitals · Norristown, PA

OwnershipProprietary

CMS Certification Number390272

Location1033 West Germantown PikeNorristown, PA 19403 · Montgomery County

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VALLEY FORGE MEDICAL CENTER & HOSPITAL, INC.

General Acute Care Hospital