Individual provider Active NPI

Antonio J Chamoun, M.D.

  • Interventional Cardiology Physician
  • Thorndale, PA
National Provider Identifier
1043281595
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD071379L Issued in PA
Practice address
3025 C G Zinn Rd
Thorndale, PA 19372-1131
Phone
(610) 384-2211
Fax
(610) 384-2340
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD071379L PA
Interventional Cardiology Physician 207RI0011X MD071379L PA Primary

Addresses

Primary practice location

3025 C G Zinn Rd
Thorndale, PA 19372-1131

Mailing address

3025 C G Zinn Rd
Thorndale, PA 19372-1131
Phone (610) 384-2211

Other identifiers 2

IdentifierTypeStateIssuer
1011636490001MedicaidPA
2398859000OtherPAINDEPENDENCE BLUE CROSS

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
I20041026000661 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 1951362573 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

1200 W Tabor Rd
Moss 4TH FL
Philadelphia, PA 19141-3019
Phone (215) 456-3815

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting49
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD071379LPAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coatesville Cardiology Clinic LLC Cardiovascular Disease CurrentSince Oct 4, 2010 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Einstein Practice Plan Inc Cardiovascular Disease CurrentSince Feb 2, 2021 Accepting new patients
Einstein Practice Plan Inc CurrentSince Feb 2, 2021 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Tower Health Medical Group CurrentSince Dec 14, 2020 Accepting new patients
Tower Health Medical Group CurrentSince Dec 14, 2020 Accepting new patients

Locations

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

1200 W Tabor Rd
Fl 4
Philadelphia, PA 19141
Phone (215) 456-3815

9880 Bustleton Ave
Ste 2
Philadelphia, PA 19115
Phone (215) 827-1500

9880 Bustleton Ave
Ste 220
Philadelphia, PA 19115
Phone (215) 456-7900

3025 Zinn Rd
Thorndale, PA 19372
Phone (610) 384-2211

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 7

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1043281595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 C G ZINN RD",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "193721131",
            "telephone_number": "610-384-2211",
            "fax_number": "610-384-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 C G ZINN RD",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "193721131",
            "telephone_number": "610-384-2211",
            "fax_number": "610-384-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMOUN",
        "first_name": "ANTONIO",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD071379L",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD071379L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011636490001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2398859000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thorndale, PA

Sources for this page

Verify at the official NPI Registry.