Individual provider Active NPI

Tomi J McCann, MD

  • Internal Medicine Physician
  • Glen Mills, PA
National Provider Identifier
1154438059
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD031125E Issued in PA
Practice address
1020 Baltimore Pike
Suite 100
Glen Mills, PA 19342-1365
Phone
(484) 227-7790
Fax
(484) 227-7791
NPI assigned
Aug 24, 2006
Last updated
Jan 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD031125E PA Primary

Addresses

Primary practice location

1020 Baltimore Pike
Suite 100
Glen Mills, PA 19342-1365

Mailing address

1020 Baltimore Pike
Suite 100
Glen Mills, PA 19342-1365
Phone (484) 227-7790

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
I20040714000409 PA Practitioner - Internal Medicine 5698754729 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare Internal Medicine CurrentSince Jul 1, 2008 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Past Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

1020 Baltimore Pike
Ste 100
Glen Mills, PA 19342
Phone (484) 227-7790

1088 W Baltimore Pike
Ste 2208
Media, PA 19063
Phone (610) 891-3049

Organizations & group practices 2

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1154438059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 BALTIMORE PIKE",
            "address_2": "SUITE 100",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421365",
            "telephone_number": "484-227-7790",
            "fax_number": "484-227-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 BALTIMORE PIKE",
            "address_2": "SUITE 100",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421365",
            "telephone_number": "484-227-7790",
            "fax_number": "484-227-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "TOMI",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD031125E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Mills, PA

Sources for this page

Verify at the official NPI Registry.