KEYSTONECARE PALLIATIVE CARE PROGRAM
NPI 1912285198
Internal Medicine in Wyndmoor, PA

Active since July 22, 2011CLIA 39D1022561 · Waiver
8765 STENTON AVE, WYNDMOOR, PA 19038(215) 836-2440(215) 836-2509 Get Directions Write a Review

NPPES record last updated: November 21, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Keystonecare Palliative Care Program NPPES

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

KEYSTONECARE PALLIATIVE CARE PROGRAM (NPI 1912285198) is a healthcare organization registered as an internal medicine in Wyndmoor, Pennsylvania and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through February 19, 2028 and lists Gail Inderwies, President, as its authorized official.

NPPES Registry Identity

NPI1912285198
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKEYSTONE HOSPICE
Location Address8765 STENTON AVEWyndmoor, PA 19038-8317
Mailing Address8765 Stenton AveWyndmoor, PA 19038-8317 · (215) 836-2440 · Fax (215) 836-2509
Fax(215) 836-2509
Organization SubpartNo
Authorized OfficialGail InderwiesPresident · (215) 836-2440
Enumeration DateJuly 22, 2011
Last NPPES UpdateNovember 21, 2011
✔ NPI 1912285198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
8765 STENTON AVE, Wyndmoor, PA 19038

Other Names 1

Doing Business AsKeystonecare Palliative Care Program

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)

Keystonecare Palliative Care Program is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Keystonecare Palliative Care Program, which bills Medicare for the services they deliver. Of these, 13 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner8
Family Practice2
Hospice/Palliative Care2
Clinical Social Worker1
Internal Medicine1

Clinicians, nearest first (14)

Family Practice
NPI 1457568354
8765 STENTON AVENUE
Wyndmoor, PA 19038
(215) 836-2440
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1629443684
8765 STENTON AVE
Wyndmoor, PA 19038
(215) 836-2440
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1205876497
8765 STENTON AVENUE
Wyndmoor, PA 19038
(215) 836-2440
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1588895817
8765 STENTON AVENUE
Wyndmoor, PA 19038
(215) 836-2440
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1932981750
8765 STENTON AVE
Wyndmoor, PA 19038
(215) 836-2440
✔ PECOS0.1 mi
Family Practice
NPI 1174514574
8815 GERMANTOWN AVE 5TH FLOOR
Philadelphia, PA 19118
(215) 248-8145
✔ PECOS✔ Accepts Medicare0.4 mi
Internal Medicine
NPI 1225337058
5501 OLD YORK RD
Philadelphia, PA 19141
(215) 456-3880
✔ PECOS✔ Accepts Medicare4.5 mi
Nurse Practitioner
NPI 1982468112
5501 OLD YORK RD
Philadelphia, PA 19141
(215) 456-7891
✔ PECOS✔ Accepts Medicare4.5 mi
Nurse Practitioner
NPI 1245016484
5501 OLD YORK RD
Philadelphia, PA 19141
(215) 456-7890
✔ PECOS✔ Accepts Medicare4.5 mi
Nurse Practitioner
NPI 1770662975
5501 OLD YORK RD
Philadelphia, PA 19141
(215) 456-7000
✔ PECOS✔ Accepts Medicare4.6 mi
Nurse Practitioner
NPI 1578154480
3401 N BROAD ST
Philadelphia, PA 19140
(215) 707-2000
✔ PECOS✔ Accepts Medicare6.1 mi
Nurse Practitioner
NPI 1639745656
3322 N BROAD ST
Philadelphia, PA 19140
(215) 707-1800
✔ PECOS✔ Accepts Medicare6.2 mi
Hospice/Palliative Care
NPI 1235716929
3900 WOODLAND AVE
Philadelphia, PA 19104
(215) 823-5800
✔ PECOS✔ Accepts Medicare9.4 mi
Hospice/Palliative Care
NPI 1609124585
777 TOWNSHIP LINE RD SUITE 200
Yardley, PA 19067
(215) 860-0775
✔ PECOS✔ Accepts Medicare20 mi

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 39D1022561

Keystone Hospice · Wyndmoor, PA
Active · expires Feb 19, 2028
CLIA Number39D1022561
Laboratory TypeHospice
Certificate Effective DateFebruary 20, 2026
Certificate Expiration DateFebruary 19, 2028
Laboratory DirectorDr. Huma N. Ansari
Laboratory Phone(215) 836-2440
Laboratory LocationKeystone Hospice8765 Stenton Avenue, Wyndmoor, PA 19038
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 Keystone Hospice's NPI number?

The NPI number for Keystone Hospice is 1912285198. It was assigned to this organization in the NPPES registry on July 22, 2011. The provider is doing business as Keystonecare Palliative Care Program.

Where is Keystone Hospice located?

Keystone Hospice is located at 8765 Stenton Ave, Wyndmoor, PA 19038. The listed phone number is (215) 836-2440.

What is Keystone Hospice's specialty?

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

Is Keystone Hospice enrolled in Medicare?

Yes. Keystone Hospice is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Keystone Hospice?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 5 Medicare specialties reassign their Medicare billing to Keystone Hospice. 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 Nurse Practitioner (8), Family Practice (2) and Hospice/Palliative Care (2). Of these, 13 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Keystone Hospice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1022561) is associated with this NPI, valid through February 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Keystone Hospice was last updated on November 21, 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.