Individual provider Active NPI

Michael Steven Upshur Sr.

  • Non-emergency Medical Transport (VAN)
  • Glenolden, PA
National Provider Identifier
1215740782
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
607A Willow Way
Glenolden, PA 19036-2201
Phone
(610) 803-3797
NPI assigned
Jan 29, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X DE Primary

Addresses

Primary practice location

607A Willow Way
Glenolden, PA 19036-2201

Mailing address

607A Willow Way
Glenolden, PA 19036-2201
Phone (610) 803-3797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

607 A Willow Way
Glenolden, PA 19036-2201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Journey to Health Transportation Non-Emergency Medical Transport (Van) CurrentSince Jun 8, 2025 Accepting new patients

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": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1215740782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607A WILLOW WAY",
            "city": "GLENOLDEN",
            "state": "PA",
            "postal_code": "190362201",
            "telephone_number": "610-803-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607A WILLOW WAY",
            "city": "GLENOLDEN",
            "state": "PA",
            "postal_code": "190362201",
            "telephone_number": "610-803-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPSHUR",
        "first_name": "MICHAEL",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenolden, PA

Sources for this page

Verify at the official NPI Registry.