Organization Active NPI

Heidi Wittels, M.D. LLC

Doing business as Montgomery Integrative Health

  • Integrative Medicine Physician
  • Wyndmoor, PA
National Provider Identifier
1215129770
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
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

Updated by the provider on Mar 2, 2026

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)CodeLicenseStatePrimary
Integrative Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202D00000X Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080328000027 PA Part B Supplier - Clinic/Group Practice 8325124761 Receives reassigned benefits from 2 practitioners
Practice locations: Wyndmoor, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2133968Montgomery Integrative Health8200 Flourtown Road Ste 6, Wyndmoor, PA 19038Certificate of waiverJul 23, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.