SOMERTON FAMILY MEDICAL ASSOCIATES
NPI 1962497131
Family Medicine in Feasterville, PA

NPI Status: Active since September 14, 2005

Contact Information

23 BUSTLETON AVENUE
SUITE 100
FEASTERVILLE, PA
ZIP 19053
Phone: (215) 464-9599
Fax: (215) 464-7865

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  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 39D2076823
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-27-2026

About SOMERTON FAMILY MEDICAL ASSOCIATES

This page provides the complete NPI Profile along with additional information for Somerton Family Medical Associates, a primary care provider established in Feasterville, Pennsylvania operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1962497131 assigned on September 2005. The practitioner's primary taxonomy code is 207Q00000X with license number 232523377 (PA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Somerton Family Medical Associates. The authorized official of this NPI record is Mr. Russell R. Wagner (Executive Vice President, Finance)

NPI
1962497131
Provider Legal Name
HR PHYSICIAN SERVICES
Other Organization Name
SOMERTON FAMILY MEDICAL ASSOCIATES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
23 BUSTLETON AVENUE SUITE 100 FEASTERVILLE, PA 19053
Location Phone
(215) 464-9599
Location Fax
(215) 464-7865
Mailing Address
PO BOX 8500 BOX #4801 PHILADELPHIA, PA 19178
Mailing Phone
(215) 856-1010
Mailing Fax
(215) 464-7865
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-14-2005
Last Update Date
12-01-2016
Code Navigator

A primary care provider (PCP) like Somerton Family Medical Associates sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
232523377
License State
PA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. RUSSELL R. WAGNER

Authorized Official Title
EXECUTIVE VICE PRESIDENT, FINANCE
Authorized Official Phone
(215) 856-1114

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100416MEDICAID (05)PA 
840504MEDICARE PIN (08)PA 
570001MEDICARE ID-TYPE UNSPECIFIED (04)PA 
0098660OTHER (01)PAAETNA US HEALTHCARE
0391360001OTHER (01)PAKEYSTONE HEALTH PLAN EAST

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D2076823
Facility Type
Physician Office
Certificate Effective Date
April 28, 2024
Certificate Expiration Date
April 27, 2026
Laboratory Director
DR. DOUGLAS G. KIMMEL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Somerton Family Medical Associates to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SOMERTON FAMILY MEDICAL ASSOCIATES

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962497131, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 8 + 9 + 1 + 4 + 1 + 6 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1962497131.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Internal Medicine
23 BUSTLETON AVENUE, SUITE 200
FEASTERVILLE, PA 19053
Family Medicine
23 BUSTLETON AVENUE, SUITE 200A
FEASTERVILLE, PA 19053

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962497131, enumerated as an "organization" on September 14, 2005.

The provider is located at 23 BUSTLETON AVENUE SUITE 100 FEASTERVILLE, PA 19053 and the phone number is (215) 464-9599.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter. Please consult your insurance carrier or call the provider to verify.