Individual provider Active NPI

Richard Alan Mitteer Jr., PA-C

  • Medical Physician Assistant
  • Chester, PA
National Provider Identifier
1003370347
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA060509 Issued in PA
Practice address
422 E 22ND St
Chester, PA 19013-5201
Phone
(610) 583-3800
NPI assigned
Jan 30, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA060509 PA Primary

Addresses

Primary practice location

422 E 22ND St
Chester, PA 19013-5201

Mailing address

940 Chester Pike
Sharon Hill, PA 19079-1413
Phone (610) 583-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190226000738 PA Practitioner - Physician Assistant 7315286994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
AIDS Care GroupGroup PAC ID 2264345933, 15 clinicians

Practice addresses (Care Compare)

2304 Edgemont Ave
Chester, PA 19013-5038
Phone (610) 872-9101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Care Group CurrentSince Feb 1, 2019 Accepting new patients

Locations

422 E 22nd St
Chester, PA 19013
Phone (610) 872-2200

2304 Edgmont Ave
Chester, PA 19013
Phone (610) 872-9101

940 Chester Pike
Sharon Hill, PA 19079
Phone (610) 583-1177

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBJEDD/Endpoint/FBJEDD

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1003370347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 CHESTER PIKE",
            "city": "SHARON HILL",
            "state": "PA",
            "postal_code": "190791413",
            "telephone_number": "610-583-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 E 22ND ST",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190135201",
            "telephone_number": "610-583-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTEER",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-30",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA060509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

Verify at the official NPI Registry.