Individual provider Active NPI

Peter Tsao, DO

  • Emergency Medicine Physician
  • Phila, PA
National Provider Identifier
1083663777
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS013628 Issued in PA
Practice address
5501 Old York Rd
Phila, PA 19141-3018
Phone
(215) 456-6679
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS013628 PA Primary

Addresses

Primary practice location

5501 Old York Rd
Phila, PA 19141-3018

Mailing address

18 Meadowood Rd
Suite 505
Bryn Mawr, PA 19010-1023
Phone (267) 975-1687

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
I20060718000235 PA Practitioner - Emergency Medicine 1850304726 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS013628PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Emergency Med Associates LLC Emergency Medicine CurrentSince Feb 1, 2022 Accepting new patients
West Grove Clinic Company LLC Emergency Medicine CurrentSince Nov 1, 2019 Accepting new patients
Pottstown Clinic Company LLC Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
West Grove Clinic Company LLC CurrentSince Nov 1, 2019 Accepting new patients
South Jersey Emergency Physicians, PA Emergency Medicine Past Accepting new patients

Locations

56 W Main St
Ste 305
Christiana, DE 19702

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

1015 W Baltimore Pike
West Grove, PA 19390
Phone (610) 869-1000

1011 W Baltimore Pike
Ste 307
West Grove, PA 19390
Phone (610) 869-1240

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

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.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083663777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MEADOWOOD RD",
            "address_2": "SUITE 505",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101023",
            "telephone_number": "267-975-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-456-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAO",
        "first_name": "PETER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS013628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.