Individual provider Active NPI

Megan Ines, DO

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1215499157
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS022987 Issued in PA
Practice address
400 Market St Ste 720
Philadelphia, PA 19106-2545
Phone
(856) 343-2681
NPI assigned
Apr 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS022987 PA Primary

Addresses

Primary practice location

400 Market St Ste 720
Philadelphia, PA 19106-2545

Mailing address

400 Market St Ste 720
Philadelphia, PA 19106-2545

Other names 1

  • Megan Acito Former name

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
I20230913004211 PA Practitioner - Psychiatry 5698139384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware County Professional Services, IncGroup PAC ID 2668436692, 276 clinicians

Practice addresses (Care Compare)

3800 Sierra Cir
Suite 210
Center Valley, PA 18034-8476
Phone (610) 892-3800

510 Walnut St
Suite 1425
Philadelphia, PA 19106-3622
Phone (412) 655-6480

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS022987PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Professional Services, Inc Psychiatry CurrentSince Aug 1, 2023 Accepting new patients

Locations

3800 Sierra Cir
Ste 210
Center Valley, PA 18034
Phone (855) 995-5384

1055 E Baltimore Pike
Ste 300
Media, PA 19063
Phone (253) 346-0020

510 Walnut St
Ste 1425
Philadelphia, PA 19106
Phone (412) 655-6480

3535 Market St
Ste 1230
Philadelphia, PA 19104
Phone (215) 732-6308

780 E Market St
West Chester, PA 19382
Phone (425) 908-0237

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.meganines@141748.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1215499157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MARKET ST STE 720",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191062545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MARKET ST STE 720",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191062545",
            "telephone_number": "856-343-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INES",
        "first_name": "MEGAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS022987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "ACITO",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.