NPIMap

Organization Active NPI

Aria Health Physician Services

Doing business as Tillman Family Practice

  • Family Medicine Physician
  • Bensalem, PA
National Provider Identifier
1043863954
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ARIA HEALTH PHYSICIAN SERVICES
Doing business as
Tillman Family Practice
Practice address
3220 Tillman Dr Ste 101
Bensalem, PA 19020-2028
Phone
(215) 639-1281
Fax
(215) 639-3016
NPI assigned
Jul 19, 2019
Last updated
Oct 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Authorized official

Name
Ronald Kumor
Title
Ceo
Phone
(215) 612-4858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

3220 Tillman Dr Ste 101
Bensalem, PA 19020-2028

Mailing address

PO Box 825395
Philadelphia, PA 19182-5395
Phone (215) 481-6873

Other names 1

  • Tillman Family Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040224000045 PA Part B Supplier - Clinic/Group Practice 3577467018 Receives reassigned benefits from 665 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Aria HLTH Phys SVCS56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1043863954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825395",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191825395",
            "telephone_number": "215-481-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 TILLMAN DR STE 101",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202028",
            "telephone_number": "215-639-1281",
            "fax_number": "215-639-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIA HEALTH PHYSICIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-19",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "KUMOR",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-612-4858"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tillman Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tillman Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.