NPIMap

Individual provider Active NPI

Peter E Blackstone, D.O.

  • Internal Medicine Physician
  • Paoli, PA
National Provider Identifier
1053391854
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS012002 Issued in PA
Practice address
255 W Lancaster Ave Mob 2 Suite 120
Paoli, PA 19301
Phone
(610) 644-9456
Fax
(610) 644-5203
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS012002 PA Primary

Addresses

Primary practice location

255 W Lancaster Ave Mob 2 Suite 120
Paoli, PA 19301

Mailing address

255 W Lancaster Avenue
Medical Office Building 2, Suite 120
Paoli, PA 19301
Phone (610) 644-9456

Other identifiers 1

IdentifierTypeStateIssuer
0019515870001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100406000018 PA Practitioner - Internal Medicine 4789725961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Rehabilitation Extension Services LLCGroup PAC ID 6406131622, shared by 5 NPIs, 161 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Pottstown Medical Specialists IncGroup PAC ID 8224024096, 39 clinicians
Great Valley Medical Associates, PCGroup PAC ID 3072588433, 5 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

137 Montgomery Ave
Suite 205
Boyertown, PA 19512-1300
Phone (484) 658-3150

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

223 Shoemaker Rd
Suite 105
Stowe, PA 19464-6446
Phone (484) 945-0770

255 W Lancaster Ave
Mob 2 Suite 120
Paoli, PA 19301-1755
Phone (610) 644-9456

321 N Furnace St
Birdsboro, PA 19508-2057
Phone (610) 582-2250

Hospital & facility affiliations

  • Tri County Home Health Home health agency, Pottstown, PA, CCN 397302
  • Bayada Home Health Care, Inc. Home health agency, Blue Bell, PA, CCN 398276
  • Main Line Health Home Care & Hospice - Home Health Home health agency, Radnor, PA, CCN 397012
  • Patient Care Hospice Hospice, Wayne, PA, CCN 391716
  • Caring Hospice Services Hospice, Fort Washington, PA, CCN 391616
  • Pottstown Hospital Hospital, Pottstown, PA, CCN 390123
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153
  • Reading Hospital Hospital, West Reading, PA, CCN 390044
  • Phoenixville Hospital Hospital, Phoenixville, PA, CCN 390127
  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS012002PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Valley Medical Associates, PC Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
Brookside Family Practice & Pediatrics CurrentSince Nov 10, 2022 Accepting new patients
Stowe Medical Group Internal Medicine Past Accepting new patients

Locations

255 W Lancaster Ave
Ste 120
Paoli, PA 19301
Phone (610) 644-9456

1601 Medical Dr
Pottstown, PA 19464
Phone (610) 327-4200

1566 Medical Dr
Ste 104
Pottstown, PA 19464
Phone (484) 945-0075

223 Shoemaker Rd
Ste 105
Stowe, PA 19464
Phone (484) 945-0770

Interoperability endpoints

  • Direct secure messaging: peterblackstone@pmsi.allscriptsdirect.net

Organizations & group practices 4

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1053391854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVENUE",
            "address_2": "MEDICAL OFFICE BUILDING 2, SUITE 120",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "19301",
            "telephone_number": "610-644-9456",
            "fax_number": "610-644-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE MOB 2 SUITE 120",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "19301",
            "telephone_number": "610-644-9456",
            "fax_number": "610-644-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSTONE",
        "first_name": "PETER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS012002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019515870001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.