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CHESTNUT HILL CLINIC COMPANY, LLC
NPI 1811611692
Family Medicine - Sports Medicine in Philadelphia, PA

Active since September 27, 2022
10 SHURS LN STE 204, PHILADELPHIA, PA 19127(215) 967-1627 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Chestnut Hill Clinic Company, Llc NPPES

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

CHESTNUT HILL CLINIC COMPANY, LLC (NPI 1811611692), doing business as Sports Medicine Chestnut Hill Manayunk Thmg, is a healthcare organization registered as a sports medicine in Philadelphia, Pennsylvania and active in the NPI registry since September 2022. The organization lists Robert Ehinger, Sr Vp Financial Operations, as its authorized official.

NPPES Registry Identity

NPI1811611692
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameCHESTNUT HILL CLINIC COMPANY, LLC
Location Address10 SHURS LN STE 204Philadelphia, PA 19127-2123
Mailing AddressPo Box 13579Reading, PA 19612-3579
Phone(215) 967-1627
Organization SubpartNo
Authorized OfficialRobert EhingerSr Vp Financial Operations · (484) 628-1324
Enumeration DateSeptember 27, 2022
NPPES CertifiedSeptember 27, 2022
✔ NPI 1811611692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
10 SHURS LN STE 204, Philadelphia, PA 19127
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Other Names 1

Doing Business AsSports Medicine Chestnut Hill Manayunk Thmg

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Chestnut Hill Clinic Company, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

175

Medicare enrollment records show 175 clinicians reassign Medicare billing to Chestnut Hill Clinic Company, LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 93 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 20

Emergency Medicine36
Nurse Practitioner29
Family Practice28
Internal Medicine22
General Surgery18
Hospitalist10
Neurology6
Obstetrics/Gynecology5
12 other specialties21

Nearest to this location (20)

See all 175
Kelly O'connell, CRNP
Nurse Practitioner
NPI 1861884546
10 SHURS LN STE 203
Philadelphia, PA 19127
(215) 482-1234
✔ PECOS✔ Accepts MedicareSame address
Kaitlin O'malley, MD
Family Practice
NPI 1922563089
10 SHURS LN STE 203
Philadelphia, PA 19127
(215) 482-1234
✔ PECOS✔ Accepts MedicareSame address
Amanda De La Paz, M.D.
Geriatric Medicine
NPI 1215236484
10 SHURS LN STE 203
Philadelphia, PA 19127
(215) 482-1234
✔ PECOS✔ Accepts MedicareSame address
Susanna Evans, MD
Family Practice
NPI 1770523870
10 SHURS LN SUITE 409
Philadelphia, PA 19127
(215) 482-1234
✔ PECOS✔ Accepts MedicareSame address
Julieanne Hlavac, MD
Family Practice
NPI 1235179714
10 SHURS LN SUITE 203
Philadelphia, PA 19127
(215) 482-1234
✔ PECOS✔ Accepts MedicareSame address
Leon Mccrea, MD
Family Practice
NPI 1518118553
10 SHURS LN
Philadelphia, PA 19127
(215) 482-1234
✔ PECOS✔ Accepts MedicareSame address
Steven Zinn, MD
Internal Medicine
NPI 1376589168
10 SHURS LN SUITE 203
Philadelphia, PA 19127
(215) 482-1234
✔ PECOSSame address
Brett Lipetz, DO
Internal Medicine
NPI 1396202875
4190 CITY AVE
Philadelphia, PA 19131
(215) 871-6694
✔ PECOS✔ Accepts Medicare1.2 mi
Donna Barbot, MD
General Surgery
NPI 1174563423
3401 N BROAD ST 4TH FL PARKINSON PAVILION
Philadelphia, PA 19140
(215) 707-3133
✔ PECOS3.7 mi
Ady Djerassi
Endocrinology
NPI 1427076199
3401 N BROAD ST
Philadelphia, PA 19140
(215) 707-4600
✔ PECOS✔ Accepts Medicare3.7 mi
Jennifer Repanshek, M.D.
Emergency Medicine
NPI 1508177866
3401 N BROAD ST
Philadelphia, PA 19140
(215) 707-5030
✔ PECOS✔ Accepts Medicare3.7 mi
Patricia Eliasinski, MD
Obstetrics/Gynecology
NPI 1346655727
3401 N BROAD ST
Philadelphia, PA 19140
(215) 707-2000
✔ PECOS✔ Accepts Medicare3.7 mi
Charles Altman, M.D.
Psychiatry
NPI 1922367820
632 ROBINSON LN
Haverford, PA 19041
(484) 753-3743
✔ PECOS✔ Accepts Medicare3.8 mi
Shemeica Binns, MD
Family Practice
NPI 1740784446
1316 W ONTARIO ST FL 1
Philadelphia, PA 19140
(215) 707-2400
✔ PECOS✔ Accepts Medicare3.8 mi
Nina O'connor, MD
Hospice/Palliative Care
NPI 1841212909
1316 W ONTARIO ST
Philadelphia, PA 19140
(215) 707-2400
✔ PECOS✔ Accepts Medicare3.8 mi
Carol Bowes-Lawlor, D.O.
General Practice
NPI 1003892175
33 E CHESTNUT HILL AVE
Philadelphia, PA 19118
(215) 753-9080
✔ PECOS3.8 mi
Keri Johnson, CRNP
Nurse Practitioner
NPI 1881634459
8815 GERMANTOWN AVE SUITE 40
Philadelphia, PA 19118
(215) 248-3100
✔ PECOS✔ Accepts Medicare3.9 mi
June Fry, MD, PHD
Sleep Medicine
NPI 1558410845
8835 GERMANTOWN AVENUE SECOND FLOOR
Philadelphia, PA 19118
(610) 828-4060
✔ PECOS4.0 mi
Steven Standiford, MD
Surgical Oncology
NPI 1790886539
8835 GERMANTOWN AVE
Philadelphia, PA 19118
(215) 248-8252
✔ PECOS4.0 mi
Mervyn Danilewitz, MD
Gastroenterology
NPI 1285682047
501 S 54TH ST 4 FLOOR
Philadelphia, PA 19143
(215) 748-9833
✔ PECOS4.9 mi
See all 175 clinicians

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 Chestnut Hill Clinic Company, LLC's NPI number?

The NPI number for Chestnut Hill Clinic Company, LLC is 1811611692. It was assigned to this organization in the NPPES registry on September 27, 2022. The provider is doing business as Sports Medicine Chestnut Hill Manayunk THMG.

Where is Chestnut Hill Clinic Company, LLC located?

Chestnut Hill Clinic Company, LLC is located at 10 Shurs Ln Ste 204, Philadelphia, PA 19127. The listed phone number is (215) 967-1627.

What is Chestnut Hill Clinic Company, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Chestnut Hill Clinic Company, LLC enrolled in Medicare?

Yes. Chestnut Hill Clinic Company, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chestnut Hill Clinic Company, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 175 clinicians in 20 Medicare specialties reassign their Medicare billing to Chestnut Hill Clinic Company, 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. The largest specialties are Emergency Medicine (36), Nurse Practitioner (29) and Family Practice (28). Of these, 7 practice at this address and 93 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 Chestnut Hill Clinic Company, LLC was last updated on September 27, 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.