Individual provider Active NPI

Amy Lynn Clouse, M.D.

  • Family Medicine Physician
  • Jenkintown, PA
National Provider Identifier
1073544433
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD066049L Issued in PA
Practice address
500 York Rd
Suite 108
Jenkintown, PA 19046-2852
Phone
(215) 481-2725
Fax
(215) 481-3013
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD066049L PA Primary

Addresses

Primary practice location

500 York Rd
Suite 108
Jenkintown, PA 19046-2852

Mailing address

500 York Rd
Suite 108
Jenkintown, PA 19046-2852
Phone (215) 481-2725

Other identifiers 1

IdentifierTypeStateIssuer
001736552001MedicaidPA

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
I20100630000698 PA Practitioner - Family Practice 0244361533 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Pennsylvania, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einstein Community Health Associates IncGroup PAC ID 7012818008, 196 clinicians
Abington Memorial HospitalGroup PAC ID 3274437736, 442 clinicians

Practice addresses (Care Compare)

101 E Olney Ave
Philadelphia, PA 19120-2470
Phone (215) 927-1937

1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-2863

500 York Rd
Suite 108
Jenkintown, PA 19046-2852
Phone (215) 481-2725

Hospital & facility affiliations

  • Jefferson Health at Home by Bayada Home health agency, Horsham, PA, CCN 397145
  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231
  • Rydal Park of Philadelphia Presbytery Homes, Inc Nursing home, Rydal, PA, CCN 395321

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital Family Medicine CurrentSince Jul 15, 1998 Accepting new patients
Einstein Community Health Associates, Inc Family Medicine CurrentSince Dec 15, 2024 Accepting new patients
Einstein Community Health Associates, Inc CurrentSince Dec 15, 2024 Accepting new patients
Abington Memorial Hospital CurrentSince Jul 15, 1998 Accepting new patients
Abington Memorial Hospital Past Accepting new patients

Locations

1235 Old York Rd
Ste G121
Abington, PA 19001
Phone (215) 517-1200

500 York Rd
Ste 108
Jenkintown, PA 19046
Phone (215) 481-2725

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

817 York Rd
Rydal, PA 19046
Phone (215) 481-2725

2500 Maryland Rd
Ste 400
Willow Grove, PA 19090
Phone (215) 481-3915

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1073544433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 YORK RD",
            "address_2": "SUITE 108",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462852",
            "telephone_number": "215-481-2725",
            "fax_number": "215-481-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 YORK RD",
            "address_2": "SUITE 108",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462852",
            "telephone_number": "215-481-2725",
            "fax_number": "215-481-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUSE",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD066049L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001736552001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.