Individual provider Active NPI

Sean Loose, MD

  • Family Medicine Physician
  • Fairless Hills, PA
National Provider Identifier
1063071371
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD477020 Issued in PA
Practice address
535 S Oxford Valley Rd
Fairless Hills, PA 19030-2612
Phone
(215) 946-3100
NPI assigned
Jun 10, 2019
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD477020 PA Primary
Sports Medicine (Family Medicine) Physician 207QS0010X MD477020 PA

Addresses

Primary practice location

535 S Oxford Valley Rd
Fairless Hills, PA 19030-2612

Mailing address

535 S Oxford Valley Rd
Fairless Hills, PA 19030-2612
Phone (215) 946-3100

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
I20230922001546 PA Practitioner - Family PracticePractitioner - Sports Medicine 1254785330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians
Aria Health OrthopaedicsGroup PAC ID 2365695251, 18 clinicians

Practice addresses (Care Compare)

2 Quincy Dr
Levittown, PA 19057-1924
Phone (215) 943-1200

380 N Oxford Valley Rd
FL 1
Langhorne, PA 19047-8304
Phone (215) 409-9300

535 S Oxford Valley Rd
Aria 3B Orthopaedics
Fairless Hills, PA 19030-2612
Phone (215) 409-9300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD477020PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Health Physician Services Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Aria Health Orthopaedics Sports Medicine CurrentSince May 1, 2025 Accepting new patients
Aria Health Physician Services CurrentSince Aug 1, 2023 Accepting new patients
Aria Health Physician Services Family Medicine Current Accepting new patients
Aria Health Physician Services Past Accepting new patients

Locations

535 S Oxford Valley Rd
Fairless Hills, PA 19030
Phone (215) 938-7730

240 Middletown Blvd
Ste 101C
Langhorne, PA 19047
Phone (215) 550-9999

380 N Oxford Valley Rd
Fl 1
Langhorne, PA 19047
Phone (215) 757-3980

380 N Oxford Valley Rd
Fl First
Langhorne, PA 19047
Phone (215) 949-5024

1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1063071371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S OXFORD VALLEY RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302612",
            "telephone_number": "215-946-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S OXFORD VALLEY RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302612",
            "telephone_number": "215-946-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOSE",
        "first_name": "SEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD477020",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD477020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairless Hills, PA

Sources for this page

Verify at the official NPI Registry.