Individual provider Active NPI

William L. Kliefoth, M.D.

  • Surgery Physician
  • Langhorne, PA
National Provider Identifier
1003844499
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS004863L Issued in PA
Practice address
240 Middletown Boulevard
Ste 101C
Langhorne, PA 19047-1818
Phone
(215) 750-6010
Fax
(215) 750-6012
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OS004863L PA Primary

Addresses

Primary practice location

240 Middletown Boulevard
Ste 101C
Langhorne, PA 19047-1818

Mailing address

PO Box 8500-6335
Philadelphia, PA 19178-6335
Phone (215) 807-8000

Other identifiers 17

IdentifierTypeStateIssuer
0010614860006MedicaidPA
1286446OtherPACIGNA
1324152OtherPAFIRST HEALTH
1382157OtherPAPHCS
07336OtherPAHEALTH PARTNERS
30003803OtherPAKEYSTONE MERCY
3109104OtherPAAETNA HMO
020054401OtherPARAILROAD MEDICARE
0010614860003MedicaidPA
0010614860005MedicaidPA
136219OtherPAHIGHMARK BLUE SHIELD
770065OtherPAUNITED HEALTHCARE
0010614860004MedicaidPA
0052070000OtherPAKEYSTONE, IBC
01061486-03OtherPAAMERICHOICE
20045124OtherPAAMERIHEALTH
136219OtherPAPERSONAL CHOICE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100823000112 PA Practitioner - General Surgery 5193859429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Philadelphia College of Osteopathic Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians

Practice addresses (Care Compare)

240 Middletown Blvd
Suite 101C
Langhorne, PA 19047-1832
Phone (215) 752-8700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)21
Hernia repair (minimally invasive)19
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS004863LPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Health Physician Services Surgery CurrentSince Apr 7, 2003 Accepting new patients
Aria Health Physician Services CurrentSince Apr 7, 2003 Accepting new patients
Aria Health Physician Services Current Accepting new patients
Jefferson Health - Northeast Past Accepting new patients
Aria Health Physician Services Surgery Past Accepting new patients

Locations

402 Middletown Blvd
Ste 214
Langhorne, PA 19047
Phone (215) 752-8700

240 Middletown Blvd
Ste 101C
Langhorne, PA 19047
Phone (215) 550-9999

240 Middletown Blvd
Ste 101D
Langhorne, PA 19047
Phone (215) 702-0600

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

3998 Red Lion Rd
Ste 235
Philadelphia, PA 19114
Phone (215) 632-3630

Networks

  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1003844499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500-6335",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191786335",
            "telephone_number": "215-807-8000",
            "fax_number": "215-807-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MIDDLETOWN BOULEVARD",
            "address_2": "STE 101C",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471818",
            "telephone_number": "215-750-6010",
            "fax_number": "215-750-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIEFOTH",
        "first_name": "WILLIAM",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "OS004863L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010614860006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1286446",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1324152",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "1382157",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "07336",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30003803",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3109104",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020054401",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010614860003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010614860005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "136219",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "770065",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010614860004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE, IBC",
            "identifier": "0052070000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "01061486-03",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "20045124",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "136219",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.