1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Internal Medicine
  6. NPI Profile

MEDICAL CENTER OF BUSTLETON PC
NPI 1861576753
Internal Medicine in Philadelphia, PA

Active since October 25, 2006
9622 BUSTLETON AVENUE, SUITE 6, PHILADELPHIA, PA 19115(215) 673-7067(215) 673-4966 Get Directions Write a Review

NPPES record last updated: June 29, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Medical Center Of Bustleton Pc NPPES

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

MEDICAL CENTER OF BUSTLETON PC (NPI 1861576753) is a healthcare organization registered as an internal medicine in Philadelphia, Pennsylvania and active in the NPI registry since October 2006. The organization lists Donna Marie Gavarone, President Owner, as its authorized official.

NPPES Registry Identity

NPI1861576753
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMEDICAL CENTER OF BUSTLETON PC
Location Address9622 BUSTLETON AVENUE, SUITE 6Philadelphia, PA 19115-3100
Mailing Address9622 Bustleton Avenue, Suite 6Philadelphia, PA 19115-3100 · (215) 673-7067 · Fax (215) 673-4966
Phone(215) 673-7067
Fax(215) 673-4966
Organization SubpartNo
Authorized OfficialDonna Marie GavaronePresident Owner · (215) 673-7067
Enumeration DateOctober 25, 2006
Last NPPES UpdateJune 29, 2010
✔ NPI 1861576753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
9622 BUSTLETON AVENUE, Philadelphia, PA 19115
Open in Google Maps ↗

Other Identifiers 1

Medicaid0015772220005PA

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)

Medical Center Of Bustleton Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Medical Center Of Bustleton 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 (3)

Donna Gavarone, DO
Internal Medicine
NPI 1881640738
9622 BUSTLETON AVENUE SUITE 6
Philadelphia, PA 19115
(215) 673-7067
✔ PECOS✔ Accepts MedicareSame address
Shari Klugman, DO
Family Practice
NPI 1861448714
9622 BUSTLETON AVE STE 6
Philadelphia, PA 19115
(215) 673-7067
✔ PECOS✔ Accepts MedicareSame address
Gene Geld, D.O.
Family Practice
NPI 1104867159
2600 LEFEVRE ST
Philadelphia, PA 19137
(215) 743-5959
✔ PECOS6.3 mi

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 Medical Center Of Bustleton PC's NPI number?

The NPI number for Medical Center Of Bustleton PC is 1861576753. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Medical Center Of Bustleton PC located?

Medical Center Of Bustleton PC is located at 9622 Bustleton Avenue Suite 6, Philadelphia, PA 19115. The listed phone number is (215) 673-7067.

What is Medical Center Of Bustleton PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Medical Center Of Bustleton PC enrolled in Medicare?

Yes. Medical Center Of Bustleton PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medical Center Of Bustleton PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Medical Center Of Bustleton PC, in Family Practice and Internal Medicine. 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. 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 Medical Center Of Bustleton PC was last updated on June 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.