PETER F CRONHOLM MD
NPI 1841235504
Family Medicine in Philadelphia, PA
About Peter F Cronholm Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETER F CRONHOLM MD (NPI 1841235504) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD072309L) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Temple University School Of Medicine (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Peter F Cronholm Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Peter Cronholm reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 199 clinicians in this Medicare group
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- Also billed through NPI 1083002000 (Pennsylvania)
- 752 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PAPenn Presbyterian Medical Center
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Peter Cronholm's NPI number?
The NPI number for Peter Cronholm is 1841235504. It was assigned to this individual provider in the NPPES registry on June 18, 2006.
Where is Peter Cronholm located?
Peter Cronholm practices at 3819 Chestnut St Ste 205, Philadelphia, PA 19104. The listed phone number is (215) 662-8777.
What is Peter Cronholm's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Peter Cronholm enrolled in Medicare?
Yes. Peter Cronholm is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Peter Cronholm's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Cronholm reassigns Medicare benefits to 2 organizations: Trustees Of The University Of Pennsylvania (Philadelphia, PA) and University Of Penn-Medical Group (Philadelphia, PA). Each 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 Peter Cronholm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Peter Cronholm accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Peter Cronholm 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.
Is Peter Cronholm affiliated with any hospitals?
According to CMS data, Peter Cronholm is affiliated with Hospital Of Univ Of Pennsylvania and Penn Presbyterian Medical Center.
When was this NPI record last updated?
The NPPES record for Peter Cronholm was last updated on November 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Peter F Cronholm, MD · NPI 1841235504
Family Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 18, 2006.
## Identity
- **NPI:** 1841235504 (Entity type: Individual)
- **Enumerated:** June 18, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD072309L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3819 CHESTNUT ST, STE 205, Philadelphia, PA 19104
- **Phone:** (215) 662-8777
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Trustees Of The University Of Pennsylvania (NPI 1124882949, Philadelphia, PA); University Of Penn-Medical Group (NPI 1386751089, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Medicine, class of 1998
## Record status
- **NPPES last updated:** November 29, 2011
- **Other identifiers:** Medicare ID-Type Unspecified 049103 (PA); Medicare UPIN H41203; Medicaid 0018486930003 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1841235504) · Data from the CMS NPPES public registry.