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ADVANCED FAMILY MEDICINE PC
NPI 1790979870
Clinic/Center - Primary Care in Philadelphia, PA

Active since August 31, 2007
14200 BUSTLETON AVE, SUITE 4, PHILADELPHIA, PA 19116(215) 671-0900(215) 671-8114 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Family Medicine Pc NPPES

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

ADVANCED FAMILY MEDICINE PC (NPI 1790979870) is a healthcare organization registered as a primary care in Philadelphia, Pennsylvania and active in the NPI registry since August 2007. The organization lists Alexander Tarnopolsky, Physician, as its authorized official.

NPPES Registry Identity

NPI1790979870
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameADVANCED FAMILY MEDICINE PC
Location Address14200 BUSTLETON AVE, SUITE 4Philadelphia, PA 19116-1186
Mailing Address14200 Bustleton Ave, Suite 4Philadelphia, PA 19116-1186 · (215) 671-0900 · Fax (215) 671-8114
Phone(215) 671-0900
Fax(215) 671-8114
Organization SubpartNo
Authorized OfficialAlexander TarnopolskyPhysician · (267) 242-7993
Enumeration DateAugust 31, 2007
Last NPPES UpdateJune 6, 2025
NPPES CertifiedJune 6, 2025
✔ NPI 1790979870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in PA · OS010564L
14200 BUSTLETON AVE, Philadelphia, PA 19116
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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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Family Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Advanced Family Medicine PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Alexander Tarnopolsky, D.O.
Family Practice
NPI 1154541027
14200 BUSTLETON AVE SUITE 4
Philadelphia, PA 19116
(215) 671-0900
✔ PECOS✔ Accepts MedicareSame address
Dmitry Ulend, NP
Nurse Practitioner
NPI 1306344718
14200 BUSTLETON AVE STE 17
Philadelphia, PA 19116
(267) 934-6769
✔ PECOSSame address
Boben Babu, PT, DPT
Physical Therapist in Private Practice
NPI 1679025548
162 BOSC CT
Telford, PA 18969
(215) 704-1356
✔ Accepts Medicare22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Advanced Family Medicine PC's NPI number?

The NPI number for Advanced Family Medicine PC is 1790979870. It was assigned to this organization in the NPPES registry on August 31, 2007.

Where is Advanced Family Medicine PC located?

Advanced Family Medicine PC is located at 14200 Bustleton Ave Suite 4, Philadelphia, PA 19116. The listed phone number is (215) 671-0900.

What is Advanced Family Medicine PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Advanced Family Medicine PC enrolled in Medicare?

Yes. Advanced Family Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Family Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Advanced Family Medicine PC, in Family Practice, Nurse Practitioner and Physical Therapist in Private Practice. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Family Medicine PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Advanced Family Medicine PC 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.

When was this NPI record last updated?

The NPPES record for Advanced Family Medicine PC was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.