NPIMap

Individual provider Active NPI

Stacey Elengickal Thomas, MD

  • Family Medicine Physician
  • Bryn Mawr, PA
National Provider Identifier
1194389155
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD478546 Issued in PA
Practice address
130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121
Phone
(484) 337-4097
NPI assigned
Apr 25, 2019
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD478546 PA Primary

Addresses

Primary practice location

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121

Mailing address

3803 W Chester Pike Ste 160
Newtown Square, PA 19073-2336
Phone (484) 337-1632

Other practice location 1

826 Main Street
Suite 100
Phoenixville, PA 19460-4478
Phone (610) 933-8484

Other practice location 2

193 Old Swede Rd
Douglassville, PA 19518-1522
Phone (610) 323-6835

Other names 1

  • Stacey Elizabeth Elengickal Former name

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
I20220920002499 PA Practitioner - Family Practice 0244573806 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians
Pottstown Clinic Company LLCGroup PAC ID 6406857184, 112 clinicians
Penn Medicine-PmaGroup PAC ID 6507269370, 55 clinicians

Practice addresses (Care Compare)

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121
Phone (484) 337-3000

1600 E High St
Pottstown, PA 19464-5093
Phone (610) 327-7000

826 Main St
Suite 100
Phoenixville, PA 19460-4459
Phone (610) 933-8484

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD478546PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenixville Clinic Company LLC CurrentSince Jan 1, 2023 Accepting new patients
Tower Health Medical Group Family Medicine Current Accepting new patients
Hospitalist Medicine Physicians of Pennsylvania, P.C. CurrentSince Dec 17, 2025 Accepting new patients
Pottstown Clinic Company LLC Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Jan 1, 2023 Accepting new patients
Tower Health Medical Group CurrentSince Aug 28, 2023 Accepting new patients
Tower Health Medical Group CurrentSince Aug 28, 2023 Accepting new patients
Phoenixville Clinic Company LLC Family Medicine Current Accepting new patients
Main Line Healthcare Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Main Line Hospitals, Inc. Past Accepting new patients
Albert Gallatin Home Care and Hospice Services, LLC Past Accepting new patients

Locations

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

193 Old Swede Rd
Douglassville, PA 19518
Phone (610) 385-3010

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

826 Main St
Ste 100
Phoenixville, PA 19460
Phone (610) 933-8000

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

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

1368 Mall Run Rd
Ste 628
Uniontown, PA 15401
Phone (724) 438-6660

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

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

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4

Organizations & group practices 12

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 10

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": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1194389155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 W CHESTER PIKE STE 160",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732336",
            "telephone_number": "484-337-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S BRYN MAWR AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103121",
            "telephone_number": "484-337-4097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "826 Main Street",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Phoenixville",
            "state": "PA",
            "postal_code": "194604478",
            "country_code": "US",
            "telephone_number": "610-933-8484",
            "fax_number": "610-917-0320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "193 Old Swede Rd",
            "address_purpose": "LOCATION",
            "city": "Douglassville",
            "state": "PA",
            "postal_code": "195181522",
            "country_code": "US",
            "telephone_number": "610-323-6835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "STACEY",
        "middle_name": "ELENGICKAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD478546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "ELENGICKAL",
            "middle_name": "ELIZABETH",
            "credential": "MD, MBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.