NPIMap

Individual provider Active NPI

Alvan Scott McNeal, DO

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1083616882
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS 006886 L Issued in PA
Practice address
1412 Fairmount Ave
Philadelphia, PA 19130-2908
Phone
(215) 235-9600
Fax
(215) 232-4093
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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 OS 006886 L PA Primary

Addresses

Primary practice location

1412 Fairmount Ave
Philadelphia, PA 19130-2908

Mailing address

1412 Fairmount Ave
Philadelphia, PA 19130-2908
Phone (215) 235-9600

Other identifiers 8

IdentifierTypeStateIssuer
609582OtherPAHIGHMARK
0432388000OtherPAINDEPENDENCE BLUE CROSS
001247174MedicaidPA
80169797OtherPARR MEDICARE
0124717408OtherPAAMERICHOICE
11494OtherPABRAVO ELDER HEALTH
13361OtherPAHEALTH PARTNERS
30009751OtherPAKEYSTONE MERCY

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
I20060308000214 PA Practitioner - Family Practice 4385553924 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 006886 LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Valley Community Health, Inc. CurrentSince Feb 7, 2011 Accepting new patients
Delaware Valley Community Health, Inc. CurrentSince Oct 11, 1993 Accepting new patients
Delaware Valley Community Health, Inc. Past Accepting new patients

Locations

1412 Fairmount Ave
Philadelphia, PA 19130
Phone (215) 235-9600

Interoperability endpoints

  • Direct secure messaging: a.mcneal@direct.dvch.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Fairmount Primary Care CenterPhiladelphia, PA, CCN 391832 Federally qualified health center Corporate Director
W-2 Managing Employee		 Jan 1, 2019
Oct 11, 1993
Maria de Los Santos Health CenterPhiladelphia, PA, CCN 391825 Federally qualified health center Corporate Officer
Corporate Director
W-2 Managing Employee		 Jan 1, 2019
Jan 1, 2019
Oct 11, 1993
Norristown Regional Health CenterNorristown, PA, CCN 391901 Federally qualified health center Corporate Officer
Corporate Director
W-2 Managing Employee		 Jan 1, 2019
Jan 1, 2019
Jan 1, 2019
Delaware Valley Community Health, Inc.Philadelphia, PA, CCN 391012 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Jan 1, 2019
Oct 11, 1993
Delaware Valley Community Health, Inc.Philadelphia, PA, CCN 391081 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Jan 1, 2019
Oct 11, 1993
Delaware Valley Community Health, Inc.Sharon Hill, PA, CCN 391084 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Jan 1, 2019
Oct 11, 1993
Delaware Valley Community Health, Inc.Philadelphia, PA, CCN 391113 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Jan 1, 2019
Oct 11, 1993
Delaware Valley Community Health, Inc.Philadelphia, PA, CCN 731912 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Jan 1, 2019
Oct 11, 1993
Delaware Valley Community Health, Inc.Philadelphia, PA, CCN D31031 Federally qualified health center Corporate Officer
Corporate Director
W-2 Managing Employee		 Jan 1, 2019
Jan 1, 2019
Aug 1, 1995

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1083616882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 FAIRMOUNT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302908",
            "telephone_number": "215-235-9600",
            "fax_number": "215-232-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 FAIRMOUNT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302908",
            "telephone_number": "215-235-9600",
            "fax_number": "215-232-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEAL",
        "first_name": "ALVAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS 006886 L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "609582",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0432388000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001247174",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "80169797",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "0124717408",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAVO ELDER HEALTH",
            "identifier": "11494",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "13361",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30009751",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.