MAIN LINE INTERNAL MEDICINE LLC
NPI 1780742841
Internal Medicine in Paoli, PA

Active since December 04, 2006
11 INDUSTRIAL BLVD, SUITE 101, PAOLI, PA 19301(610) 695-9878 Get Directions Write a Review

NPPES record last updated: January 29, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Main Line Internal Medicine Llc NPPES

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

MAIN LINE INTERNAL MEDICINE LLC (NPI 1780742841) is a healthcare organization registered as an internal medicine in Paoli, Pennsylvania and active in the NPI registry since December 2006. The organization lists Elana Kripke, Physician, as its authorized official.

NPPES Registry Identity

NPI1780742841
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMAIN LINE INTERNAL MEDICINE LLC
Location Address11 INDUSTRIAL BLVD, SUITE 101Paoli, PA 19301-1632
Mailing Address11 Industrial Blvd, Suite 101Paoli, PA 19301-1632 · (610) 695-9878
Organization SubpartNo
Authorized OfficialElana KripkePhysician · (610) 695-9878
Enumeration DateDecember 4, 2006
Last NPPES UpdateJanuary 29, 2008
✔ NPI 1780742841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD046844L
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.
11 INDUSTRIAL BLVD, Paoli, PA 19301

Other Identifiers 3

Medicare UPINF26284
Medicare ID-Type Unspecified721883PA
Medicaid001280938004PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Main Line Internal Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Main Line Internal Medicine LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1184633927
11 INDUSTRIAL BLVD SUITE 101
Paoli, PA 19301
(610) 695-9345
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1912946419
11 INDUSTRIAL BLVD PAOLI POINTE BLDG SUITE 101
Paoli, PA 19301
(610) 695-9345
✔ PECOS0.3 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 39D0978956

Main Line Internal Medicine LLC · Paoli, PA
Expired · Oct 9, 2026
CLIA Number39D0978956
Laboratory TypePhysician Office
Certificate Effective DateOctober 10, 2024
Certificate Expiration DateOctober 9, 2026
Laboratory DirectorElana N. Kripke MD
Laboratory Phone(610) 695-9345
Laboratory LocationMain Line Internal Medicine LLC11 Industrial Boulevard Suite 101 Paoli Pointe Building, Paoli, PA 19301
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Main Line Internal Medicine LLC's NPI number?

The NPI number for Main Line Internal Medicine LLC is 1780742841. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Main Line Internal Medicine LLC located?

Main Line Internal Medicine LLC is located at 11 Industrial Blvd Suite 101, Paoli, PA 19301. The listed phone number is (610) 695-9878.

What is Main Line Internal Medicine LLC's specialty?

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

Is Main Line Internal Medicine LLC enrolled in Medicare?

Yes. Main Line Internal Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Main Line Internal Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Main Line Internal Medicine LLC. 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 2 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 Main Line Internal Medicine LLC was last updated on January 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.