Active NPI
Michael Buxbaum, MD
- Psychiatry Physician
- North Wales, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD039175L
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104436 | Other | PA | BLUE SHIELD |
| 0040523000 | Other | PA | KEYSTONE |
| 000991520006 | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 N W St
Doylestown, PA 18901-2366
Phone (215) 345-5300
Hospital & facility affiliations
- Doylestown Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lenape Valley Foundation | Psychiatry | Current | Accepting new patients |
| Springfield Psychological PC | Current | Accepting new patients | |
| Lenape Valley Foundation | Psychiatry | Current | 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.
-
- Psychiatry Physician
- Doylestown, PA
- NPI 1780735407
-
- Psychiatry Physician
- Doylestown, PA
- NPI 1265656623
-
- Mental Health Counselor
- Springfield, PA
- NPI 1295705317
-
- Dermatology Physician
- Lower Gwynedd, PA
- NPI 1114369873
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Doylestown, PA
- NPI 1225091697
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.