Individual provider Active NPI

Sherilyn Lisa Tittermary McCollum, D.O.

  • Rheumatology Physician
  • Doylestown, PA
National Provider Identifier
1023209533
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
OS-015700 Issued in PA
Practice address
1456 Ferry Road
Suite 403
Doylestown, PA 18901
Phone
(267) 483-8094
Fax
(267) 483-8312
NPI assigned
Aug 8, 2007
Last updated
Nov 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X OS-015700 PA Primary

Addresses

Primary practice location

1456 Ferry Road
Suite 403
Doylestown, PA 18901

Mailing address

1456 Ferry Rd Ste 403
Doylestown, PA 18901-2306
Phone (267) 483-8094

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
I20140506001226 PA Practitioner - Rheumatology 8123251709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1456 Ferry Rd
Suite 403
Doylestown, PA 18901-2306
Phone (215) 947-8701

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS-015700PAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. CurrentSince Mar 15, 2015 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Mar 15, 2015 Accepting new patients
Central Bucks Rheumatology Infusion Center Rheumatology CurrentSince Jun 1, 2021 Accepting new patients
Central Bucks Rheumatology Rheumatology CurrentSince Apr 1, 2021 Accepting new patients

Locations

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1456 Ferry Rd
Ste 403
New Britain, PA 18901
Phone (215) 947-8701

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23151/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sherilyn.tittermary.mccollum.1@23151.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1023209533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 FERRY RD STE 403",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012306",
            "telephone_number": "267-483-8094",
            "fax_number": "267-483-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 FERRY ROAD",
            "address_2": "SUITE 403",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "18901",
            "telephone_number": "267-483-8094",
            "fax_number": "267-483-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITTERMARY MCCOLLUM",
        "first_name": "SHERILYN",
        "middle_name": "LISA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "OS-015700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.