100Plus Clinic PC
Organization Active NPI Family Medicine Physician · Bala Cynwyd, PA
NPI 1043013246 · NPPES record last updated Oct 28, 2025
Key facts
- NPI
- 1043013246
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- 100PLUS CLINIC PC
- Practice address
- 3 Bala PLZ W Ste 200
Bala Cynwyd, PA 19004-3478 - Phone
- (215) 292-6966
- NPI assigned
- Mar 31, 2025
- Organization subpart
- No
Authorized official
- Name
- Dr. Peter Michael Litchfield
- Title
- Physician
- Phone
- (423) 426-4188
Practitioners 2
-
Gina Rigsbee, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250728002068 | PA | Part B Supplier - Clinic/Group Practice | 2264949916 |
Receives reassigned benefits from 1 practitioner Practice locations: Bala Cynwyd, PA |
National Provider Directory
Locations
3 Bala Plz W
Ste 200
Bala Cynwyd, PA 19004
Phone (215) 292-6966
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
3 Bala PLZ W Ste 200
Bala Cynwyd, PA 19004-3478
Mailing address
PO Box 23736
Nashville, TN 37202-3736
Other providers in Bala Cynwyd, PA
- 2411 York Health and Wellness LLC
- 247 Home Care Heroes LLC
- 365 Health Services LLC
- 5 Star Home Care LLC
- A Home for Renewal Inc.
All providers in Bala Cynwyd, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.