PHILADELPHIA FAMILY MEDICAL ASSOCIATES
NPI 1861434680
Family Medicine in Philadelphia, PA

Q: What is Philadelphia Family Medical Associates's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 13, 2006

4702 N 5TH ST, PHILADELPHIA, PA 19120(215) 329-4888(215) 329-5615 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Philadelphia Family Medical Associates NPPES

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

PHILADELPHIA FAMILY MEDICAL ASSOCIATES (NPI 1861434680) is a healthcare organization registered as a family medicine in Philadelphia, Pennsylvania and active in the NPI registry since June 2006. The organization lists Brian Walsh, President, as its authorized official.

NPPES Registry Identity

NPI1861434680

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePHILADELPHIA FAMILY MEDICAL ASSOCIATES

Location Address4702 N 5TH STPhiladelphia, PA 19120-4108

Mailing Address4702 N 5th StPhiladelphia, PA 19120-4108 · (215) 329-4888 · Fax (215) 329-5615

Phone(215) 329-4888

Fax(215) 329-5615

Organization SubpartNo

Authorized OfficialBrian WalshPresident · (215) 329-4888

Enumeration DateJune 13, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1861434680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · OS006489L

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4702 N 5TH ST, Philadelphia, PA 19120

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Philadelphia Family Medical Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Philadelphia Family Medical Associates, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brian Walsh, D.O.

Family Practice

NPI 1902845670

4702 N 5TH ST
Philadelphia, PA 19120

(215) 329-4888

✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2048589

Philadelphia Family Medical Assoc · Philadelphia, PA

Expired · Oct 18, 2026

CLIA Number39D2048589

Laboratory TypePhysician Office

Certificate Effective DateOctober 19, 2024

Certificate Expiration DateOctober 18, 2026

Laboratory DirectorDr. Brian Walsh Do

Laboratory Phone(215) 329-4888

Laboratory LocationPhiladelphia Family Medical Assoc4702 N 5th St, Philadelphia, PA 19120

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Philadelphia Family Medical Associates's NPI number?

The NPI number for Philadelphia Family Medical Associates is 1861434680. It was assigned to this organization in the NPPES registry on June 13, 2006.

Where is Philadelphia Family Medical Associates located?

Philadelphia Family Medical Associates is located at 4702 N 5th St, Philadelphia, PA 19120. The listed phone number is (215) 329-4888.

What is Philadelphia Family Medical Associates's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Philadelphia Family Medical Associates enrolled in Medicare?

Yes. Philadelphia Family Medical Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Philadelphia Family Medical Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Philadelphia Family Medical Associates. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Philadelphia Family Medical Associates was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.