CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST
NPI 1790737468
Hospitalist in Bala Cynwyd, PA

NPI Status: Active since May 17, 2006

Contact Information

150 MONUMENT RD FL 4
BALA CYNWYD, PA
ZIP 19004
Phone: (610) 239-2871
Fax: (610) 239-2885

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  • Organization
  • Hospitalist
  • Accepts Insurance

About CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST

This page provides the complete NPI Profile along with additional information for Clinical Care Associates Of The University Of Pennsylvania Health Syst, a provider established in Bala Cynwyd, Pennsylvania operating as a Hospitalist. The healthcare provider is registered in the NPI registry with number 1790737468 assigned on May 2006. The practitioner's primary taxonomy code is 208M00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Clinical Care Associates Of The University Of Pennsylvania Health Syst operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Chante L Jackson (Enrollment Lead)

NPI
1790737468
Provider Name
CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST
Entity Type
Organization
Location Address
150 MONUMENT RD FL 4 BALA CYNWYD, PA 19004
Location Phone
(610) 239-2871
Location Fax
(610) 239-2885
Mailing Address
150 MONUMENT RD FL 4 BALA CYNWYD, PA 19004
Mailing Phone
(610) 239-2871
Mailing Fax
(610) 239-2885
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2006
Last Update Date
08-09-2023
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospitalist

Taxonomy Code
208M00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207PE0004XAllopathic & Osteopathic Physicians

Emergency Medicine
Emergency Medical Services

 
2207PS0010XAllopathic & Osteopathic Physicians

Emergency Medicine
Sports Medicine

 
3207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
4207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

(PA)
5207RE0101XAllopathic & Osteopathic Physicians

Internal Medicine
Endocrinology, Diabetes & Metabolism

 
6207RH0002XAllopathic & Osteopathic Physicians

Internal Medicine
Hospice and Palliative Medicine

 
7207RI0200XAllopathic & Osteopathic Physicians

Internal Medicine
Infectious Disease

 
8207RR0500XAllopathic & Osteopathic Physicians

Internal Medicine
Rheumatology

 
9207RS0012XAllopathic & Osteopathic Physicians

Internal Medicine
Sleep Medicine

 
10207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
112084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

 
12208600000XAllopathic & Osteopathic Physicians

Surgery

(PA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHANTE L JACKSON

Authorized Official Title
ENROLLMENT LEAD
Authorized Official Phone
(215) 662-6187

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1343994OTHER (01)PABLUE SHIELD
428207OTHER (01)PABLUE SHIELD
100730664MEDICAID (05)PA 

Reviews for CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1790737468, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 7 → 14 → 5 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 1 + 4 + 3 + 1 + 4 + 4 + 1 + 2 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1790737468.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
150 MONUMENT RD FL 4
BALA CYNWYD, PA 19004
Surgery
150 MONUMENT RD FL 4
BALA CYNWYD, PA 19004
Hospitalist
150 MONUMENT RD FL 4
BALA CYNWYD, PA 19004
Internal Medicine (Cardiovascular Disease)
150 MONUMENT RD FL 4
BALA CYNWYD, PA 19004
Colon & Rectal Surgery
150 MONUMENT RD FL 4
BALA CYNWYD, PA 19004
Internal Medicine (Gastroenterology)
150 MONUMENT RD FL 4
BALA CYNWYD, PA 19004
Psychiatry & Neurology (Neurology)
150 MONUMENT RD FL 4
BALA CYNWYD, PA 19004
Urology
150 MONUMENT RD FL 4
BALA CYNWYD, PA 19004
Surgery (Vascular Surgery)
150 MONUMENT RD FL 4
BALA CYNWYD, PA 19004
Internal Medicine (Infectious Disease)
150 MONUMENT RD FL 4
BALA CYNWYD, PA 19004
Internal Medicine
150 MONUMENT RD FL 4
BALA CYNWYD, PA 19004
Internal Medicine
150 MONUMENT RD FL 4
BALA CYNWYD, PA 19004
Internal Medicine (Cardiovascular Disease)
150 MONUMENT RD FL 4
BALA CYNWYD, PA 19004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790737468, enumerated as an "organization" on May 17, 2006.

The provider is located at 150 MONUMENT RD FL 4 BALA CYNWYD, PA 19004 and the phone number is (610) 239-2871.

Hospitalist with taxonomy code 208M00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter. Please consult your insurance carrier or call the provider to verify.