Active NPI
Allen Russell Harris, D.O.
- Family Medicine Physician
- Newtown Square, PA
National Provider Identifier
1003266131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OT017181
- Practice address
- 3537 W Chester Pike
Newtown Square, PA 19073-3701 - Phone
- (610) 601-9177
- Fax
- (610) 016-9168
- NPI assigned
- Jun 20, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OT017181 | PA | Primary |
Addresses
Primary practice location
3537 W Chester Pike
Newtown Square, PA 19073-3701
Mailing address
PO Box 305
Narberth, PA 19072-0305
Phone (610) 601-9177
Other practice location 1
2005 Marlton Pike E
Cherry Hill, NJ 08003-1279
Phone (610) 601-9177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novacare Outpatient Rehabilitation East, Inc.
Practice addresses (Care Compare)
201 2ND Ave
Collegeville, PA 19426-3613
Phone (610) 489-7703
3409 W Chester Pike
Suite 202
Newtown Square, PA 19073-4290
Phone (610) 601-9177
Hospital & facility affiliations
- Bryn Mawr Hospital
- Main Line Hospital Lankenau
- Paoli Hospital
- Riddle Memorial Hospital
- Hospital of Univ of Pennsylvania
- Good Shepherd Penn Partners
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.62 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 52.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT017181 | PA | MD | Family Medicine Physician |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CIFBCD/Endpoint/CIFBCD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Medicine (Family Medicine) Physician
- Newtown Square, PA
- NPI 1083239982
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paoli, PA
- NPI 1215042114
-
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
-
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
-
- Long Term Care Hospital
- Philadelphia, PA
- NPI 1427232818
Long-term care hospital
-
- General Acute Care Hospital
- Media, PA
- NPI 1407856099
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1003266131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 305",
"city": "NARBERTH",
"state": "PA",
"postal_code": "190720305",
"telephone_number": "610-601-9177",
"fax_number": "610-601-9168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3537 W CHESTER PIKE",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190733701",
"telephone_number": "610-601-9177",
"fax_number": "610-016-9168"
}
],
"practiceLocations": [
{
"address_1": "2005 Marlton Pike E",
"address_purpose": "LOCATION",
"city": "Cherry Hill",
"state": "NJ",
"postal_code": "080031279",
"country_code": "US",
"telephone_number": "610-601-9177",
"fax_number": "610-601-9168",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "ALLEN",
"middle_name": "RUSSELL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-20",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OT017181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newtown Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.