NPIMap

Individual provider Active NPI

Gregg L Neithardt, M.D.

  • Cardiovascular Disease Physician
  • West Chester, PA
National Provider Identifier
1164582052
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD425919 Issued in PA
Practice address
915 Old Fern Hill Rd
BLDG a, Ste 5
West Chester, PA 19380-4269
Phone
(610) 696-2850
Fax
(610) 696-7159
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD425919 PA Primary

Addresses

Primary practice location

915 Old Fern Hill Rd
BLDG a, Ste 5
West Chester, PA 19380-4269

Mailing address

207 N Broad St
FL 3
Philadelphia, PA 19107-1500
Phone (610) 696-2850

Other practice location 1

142 Wallace Ave Ste 201
Downingtown, PA 19335-2643
Phone (610) 696-2850

Other identifiers 1

IdentifierTypeStateIssuer
101348607MedicaidPA

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
I20050718000215 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9537195904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Georgetown University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiology Consultants of Philadelphia PCGroup PAC ID 5294620746, 154 clinicians

Practice addresses (Care Compare)

1703 S Broad St
Suite 300
Philadelphia, PA 19148-1536
Phone (215) 463-5333

404 McFarlan Rd
Suite 102
Kennett Square, PA 19348-2479
Phone (610) 696-2850

915 Old Fern Hill Rd
Suite 5
West Chester, PA 19380-4269
Phone (610) 696-2850

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.23 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
77.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD425919PAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Consultants of Philadelphia, P.C. Cardiovascular Disease CurrentSince Jul 1, 2012 Accepting new patients
Chester County Cardiology Associates, P.C. Cardiovascular Disease PastSince Jul 1, 2008 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

142 Wallace Ave
Ste 109
Downingtown, PA 19335

495 Thomas Jones Way
Exton, PA 19341
Phone (610) 280-3636

255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286

1703 S Broad St
Ste 300
Philadelphia, PA 19148
Phone (215) 462-7100

207 N Broad St
Fl 3
Philadelphia, PA 19107
Phone (215) 361-5020

824 Main St
Ste 201
Phoenixville, PA 19460
Phone (610) 935-0719

915 Old Fern Hill Rd
#A
West Chester, PA 19380

915 Old Fern Hill Rd
Ste 5
West Chester, PA 19380
Phone (610) 696-7159

915 Old Fern Hill Rd
Ste A05
West Chester, PA 19380

455 Woodview Rd
Ste 205
West Grove, PA 19390
Phone (484) 748-6148

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1164582052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N BROAD ST",
            "address_2": "FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071500",
            "telephone_number": "610-696-2850",
            "fax_number": "610-696-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 OLD FERN HILL RD",
            "address_2": "BLDG A, STE 5",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804269",
            "telephone_number": "610-696-2850",
            "fax_number": "610-696-7159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 Wallace Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Downingtown",
            "state": "PA",
            "postal_code": "193352643",
            "country_code": "US",
            "telephone_number": "610-696-2850",
            "fax_number": "610-696-7159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEITHARDT",
        "first_name": "GREGG",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD425919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101348607",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.