PATINA MEDICAL GROUP, PC
NPI 1801568910
Clinic/Center - Primary Care in Bala Cynwyd, PA
About Patina Medical Group, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATINA MEDICAL GROUP, PC (NPI 1801568910) is a healthcare organization registered as a primary care in Bala Cynwyd, Pennsylvania and active in the NPI registry since September 2021. The organization lists Alexandra Marie Ristow, Lead Primary Care Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 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)
Patina Medical Group, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Patina Medical Group, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 Patina Medical Group, PC's NPI number?
The NPI number for Patina Medical Group, PC is 1801568910. It was assigned to this organization in the NPPES registry on September 28, 2021.
Where is Patina Medical Group, PC located?
Patina Medical Group, PC is located at 150 Monument Rd, Bala Cynwyd, PA 19004. The listed phone number is (949) 246-3344.
What is Patina Medical Group, PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Patina Medical Group, PC enrolled in Medicare?
Yes. Patina Medical Group, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Patina Medical Group, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Patina Medical Group, PC. 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. The largest specialties are Nurse Practitioner (6), Family Practice (1) and Internal Medicine (1). Of these, 2 practice at this address and 3 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 Patina Medical Group, PC was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Patina Medical Group, Pc · NPI 1801568910
Primary Care organization in Bala Cynwyd, Pennsylvania. Organization record, active in the CMS NPPES registry since September 28, 2021.
## Identity
- **NPI:** 1801568910 (Entity type: Organization)
- **Enumerated:** September 28, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Alexandra Ristow, LEAD PRIMARY CARE PHYSICIAN
## Practice location
- **Address:** 150 MONUMENT RD, Bala Cynwyd, PA 19004-1702
- **Phone:** (949) 246-3344
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (1), Internal Medicine (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1801568910) · Data from the CMS NPPES public registry.