DR. ANDREW G BONGIOVANNI DO
NPI 1811949191
Internal Medicine in Broomall, PA
About Dr. Andrew G Bongiovanni Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANDREW G BONGIOVANNI DO (NPI 1811949191) is an individual internal medicine provider in Broomall, Pennsylvania, licensed in Pennsylvania (OS003771L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Andrew G Bongiovanni Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Andrew Bongiovanni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newtown Square, PA 19073
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,638 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOMALL, PA 19008
BROOMALL, PA 19008
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 Andrew Bongiovanni's NPI number?
The NPI number for Andrew Bongiovanni is 1811949191. It was assigned to this individual provider in the NPPES registry on May 16, 2006.
Where is Andrew Bongiovanni located?
Andrew Bongiovanni practices at 1991 Sproul Rd Suite 450, Broomall, PA 19008. The listed phone number is (484) 427-8999.
What is Andrew Bongiovanni's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Andrew Bongiovanni enrolled in Medicare?
Yes. Andrew Bongiovanni is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Andrew Bongiovanni's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Bongiovanni reassigns Medicare benefits to Main Line Healthcare (Newtown Square, PA). The 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 Andrew Bongiovanni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Andrew Bongiovanni was last updated on May 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Andrew G Bongiovanni, DO · NPI 1811949191
Internal Medicine physician in Broomall, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 16, 2006.
## Identity
- **NPI:** 1811949191 (Entity type: Individual)
- **Enumerated:** May 16, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** OS003771L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1991 SPROUL RD, SUITE 450, Broomall, PA 19008-3512
- **Phone:** (484) 427-8999 · **Fax:** (484) 421-3001
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Main Line Healthcare (NPI 1922077643, Newtown Square, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 1, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1811949191) · Data from the CMS NPPES public registry.