Individual provider Active NPI

Annette M Colavita, M.D.

  • Pulmonary Disease Physician
  • Meadowbrook, PA
National Provider Identifier
1164410718
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD061666L Issued in PA
Practice address
1650 Huntingdon Pike
Suite 305
Meadowbrook, PA 19046-8004
Phone
(215) 947-6404
Fax
(215) 947-9883
NPI assigned
Oct 7, 2005
Last updated
Jun 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MD061666L PA Primary

Addresses

Primary practice location

1650 Huntingdon Pike
Suite 305
Meadowbrook, PA 19046-8004

Mailing address

1650 Huntingdon Pike
Suite 305
Meadowbrook, PA 19046-8004
Phone (215) 947-6404

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
I20041103000105 PA Practitioner - Pulmonary Disease 3577525393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Hahnemann University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HR Physician ServicesGroup PAC ID 0042109902, 188 clinicians

Practice addresses (Care Compare)

1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone (215) 947-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD061666LPAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HR Physician Services CurrentSince Dec 12, 2010 Accepting new patients
HR Physician Services Current Accepting new patients
HR Physician Services CurrentSince Dec 12, 2010 Accepting new patients
Kenneth R Lander M.D. P.C. Pulmonary Disease PastSince Sep 15, 2004 Accepting new patients
HR Physician Services Past Accepting new patients
HR Physician Services Past Accepting new patients

Locations

3300 Tillman Dr
Bensalem, PA 19020
Phone (215) 244-7400

109 Central Ave
Cheltenham, PA 19012
Phone (215) 663-1500

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1648 Huntingdon Pike
Ofc First
Meadowbrook, PA 19046
Phone (215) 938-3450

1650 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 707-7200

1650 Huntingdon Pike
Ste 252
Meadowbrook, PA 19046
Phone (215) 938-1550

1650 Huntingdon Pike
Ste 305
Meadowbrook, PA 19046
Phone (215) 344-9560

Interoperability endpoints

  • Direct secure messaging: annette.colavita.1@17399.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1164410718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HUNTINGDON PIKE",
            "address_2": "SUITE 305",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468004",
            "telephone_number": "215-947-6404",
            "fax_number": "215-947-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HUNTINGDON PIKE",
            "address_2": "SUITE 305",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468004",
            "telephone_number": "215-947-6404",
            "fax_number": "215-947-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLAVITA",
        "first_name": "ANNETTE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD061666L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadowbrook, PA

Sources for this page

Verify at the official NPI Registry.