Active NPI
Heidi Wittels, M.D. LLC
Doing business as Montgomery Integrative Health
- Integrative Medicine Physician
- Wyndmoor, PA
National Provider Identifier
1215129770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- Legal business name
- HEIDI WITTELS, M.D. LLC
- Doing business as
- Montgomery Integrative Health
- Practice address
- 8200 Flourtown Avenue
Ste. 6
Wyndmoor, PA 19038 - Phone
- (215) 233-6226
- Fax
- (215) 836-0300
- NPI assigned
- Aug 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alicia R. Clark
- Title
- Med. Admin. Asst. MGR.
- Phone
- (215) 233-6226
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Integrative Medicine Physician | 202D00000X | Primary | ||
| Family Medicine Physician | 207Q00000X |
Addresses
Primary practice location
8200 Flourtown Avenue
Ste. 6
Wyndmoor, PA 19038
Mailing address
8200 Flourtown Avenue
Ste. 6
Wyndmoor, PA 19038
Phone (215) 233-6226
Other names 1
- Montgomery Integrative Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2133968 | Montgomery Integrative Health | Certificate of waiver | Jul 23, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Wyndmoor, PA
- NPI 1598980724
-
- Physical Medicine & Rehabilitation Physician
- Wyndmoor, PA
- NPI 1942277561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772409600000",
"number": "1215129770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 FLOURTOWN AVENUE",
"address_2": "STE. 6",
"city": "WYNDMOOR",
"state": "PA",
"postal_code": "19038",
"telephone_number": "215-233-6226",
"fax_number": "215-836-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 FLOURTOWN AVENUE",
"address_2": "STE. 6",
"city": "WYNDMOOR",
"state": "PA",
"postal_code": "19038",
"telephone_number": "215-233-6226",
"fax_number": "215-836-0300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEIDI WITTELS, M.D. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-17",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "ALICIA",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "MED. ADMIN. ASST. MGR.",
"authorized_official_telephone_number": "215-233-6226"
},
"taxonomies": [
{
"code": "202D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Integrative Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Montgomery Integrative Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wyndmoor, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.