Individual provider Active NPI

Michael Buxbaum, MD

  • Psychiatry Physician
  • North Wales, PA
National Provider Identifier
1023084159
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD039175L Issued in PA
Practice address
116 S Main St
North Wales, PA 19459
Phone
(215) 699-1206
Fax
(215) 699-1206
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD039175L PA Primary

Addresses

Primary practice location

116 S Main St
North Wales, PA 19459

Mailing address

P O Box 42
Gwynedd, PA 19436-0042
Phone (215) 442-5500

Other identifiers 3

IdentifierTypeStateIssuer
104436OtherPABLUE SHIELD
0040523000OtherPAKEYSTONE
000991520006MedicaidPA

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
I20081101000029 PA Practitioner - Psychiatry 5991864241 Reassigns benefits to 1 organization
Practice locations: Richboro, PA; North Wales, PA; Langhorne, PA; Holland, PA; Doylestown, PA; Chalfont, PA; Blue Bell, PA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenape Valley FoundationGroup PAC ID 7719960913, 66 clinicians

Practice addresses (Care Compare)

500 N W St
Doylestown, PA 18901-2366
Phone (215) 345-5300

Hospital & facility affiliations

  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lenape Valley Foundation Psychiatry CurrentSince Apr 24, 1984 Accepting new patients
Springfield Psychological PC CurrentSince Dec 20, 2015 Accepting new patients
Lenape Valley Foundation Psychiatry CurrentSince Apr 24, 1984 Accepting new patients
On Site Dermatology of Pennsylvania PLLC Past Accepting new patients

Locations

500 N West St
Doylestown, PA 18901
Phone (267) 893-5118

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144

Organizations & group practices 4

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1023084159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 42",
            "city": "GWYNEDD",
            "state": "PA",
            "postal_code": "194360042",
            "telephone_number": "215-442-5500",
            "fax_number": "215-442-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S MAIN ST",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "19459",
            "telephone_number": "215-699-1206",
            "fax_number": "215-699-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUXBAUM",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD039175L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "104436",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0040523000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000991520006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wales, PA

Sources for this page

Verify at the official NPI Registry.