Individual provider Active NPI

Stanford D Gittlen, MD

  • Pulmonary Disease Physician
  • Doylestown, PA
National Provider Identifier
1124133590
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
029887E Issued in PA
Practice address
1980 South Easton Road
Suite 230
Doylestown, PA 18901
Phone
(215) 348-1310
Fax
(215) 348-8615
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 029887E PA
Pulmonary Disease Physician 207RP1001X 029887E PA Primary

Addresses

Primary practice location

1980 South Easton Road
Suite 230
Doylestown, PA 18901

Mailing address

1980 South Easton Road
Suite 230
Doylestown, PA 18901
Phone (215) 348-1310

Other identifiers 1

IdentifierTypeStateIssuer
0012592370001MedicaidPA

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
I20120214000684 PA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 4284694423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bucks County Medical Associates, P.C.Group PAC ID 3870578487, 10 clinicians

Practice addresses (Care Compare)

595 W State St
Doylestown, PA 18901-2554
Phone (215) 345-2200

Hospital & facility affiliations

  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203
  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
029887EPAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bucks County Medical Associates, P.C. Critical Care Medicine CurrentSince Mar 22, 1991 Accepting new patients

Locations

2003 Lower State Rd
Unit 110
Doylestown, PA 18901
Phone (215) 348-1310

1980 S Easton Rd
Ste 230
Doylestown, PA 18901
Phone (215) 345-0105

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

Interoperability endpoints

  • Direct secure messaging: stanford.gittlen@dhcp.eclinicaldirectplus.com

Organizations & group practices 1

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 2

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1124133590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 SOUTH EASTON ROAD",
            "address_2": "SUITE 230",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "18901",
            "telephone_number": "215-348-1310",
            "fax_number": "215-348-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 SOUTH EASTON ROAD",
            "address_2": "SUITE 230",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "18901",
            "telephone_number": "215-348-1310",
            "fax_number": "215-348-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITTLEN",
        "first_name": "STANFORD",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "029887E",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "029887E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012592370001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.