Individual provider Active NPI

Andrea Kauffman, PA-C

  • Medical Physician Assistant
  • Plymouth Meeting, PA
National Provider Identifier
1043760085
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA059845 Issued in PA
Practice address
1000 Germantown Pike Ste H2
Plymouth Meeting, PA 19462-2488
Phone
(484) 351-8031
NPI assigned
Oct 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA059845 PA Primary

Addresses

Primary practice location

1000 Germantown Pike Ste H2
Plymouth Meeting, PA 19462-2488

Mailing address

2063 Glenwood Ave
Glenside, PA 19038-5307
Phone (339) 221-1730

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180717001596 PA Practitioner - Physician Assistant 4880941202 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA059845PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Volpicelli Center Inc. PastSince Sep 29, 2019 Accepting new patients
Ophelia Medical Group, P.C. PastSince Mar 22, 2020 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1043760085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2063 GLENWOOD AVE",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190385307",
            "telephone_number": "339-221-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GERMANTOWN PIKE STE H2",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622488",
            "telephone_number": "484-351-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFFMAN",
        "first_name": "ANDREA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA059845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

Verify at the official NPI Registry.