Individual provider Active NPI

Andrew Lee Mermelstein, MD

  • Rheumatology Physician
  • East Norriton, PA
National Provider Identifier
1215920335
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD061891L Issued in PA
Practice address
170 W. Germantown Pike
Suite C-2
East Norriton, PA 19401-1389
Phone
(610) 277-2750
Fax
(610) 277-7949
NPI assigned
Aug 24, 2005
Last updated
Nov 29, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD061891L PA Primary

Addresses

Primary practice location

170 W. Germantown Pike
Suite C-2
East Norriton, PA 19401-1389

Mailing address

170 W Germantown Pike
Suite C-2
East Norriton, PA 19401-1389
Phone (610) 277-2750

Other identifiers 4

IdentifierTypeStateIssuer
0416013000OtherPAKEYSTONE
0416013000OtherPAPERSONAL CHOICE
2584OtherPAAETNA
960047OtherPABLUE SHIELD

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
I20100826000601 PA Practitioner - RheumatologyPractitioner - Internal Medicine 5193738318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
New York University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rheumatology Associates LTDGroup PAC ID 8628051695, 5 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

170 W Germantown Pike
Suite C2
East Norriton, PA 19401-1389
Phone 61027727504

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates LTD Rheumatology CurrentSince Oct 29, 1997 Accepting new patients

Locations

262 Bethlehem Pike
Ste 100
Colmar, PA 18915
Phone (215) 997-8530

170 W Germantown Pike
Ste C2
Norristown, PA 19401
Phone (610) 277-2750

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71616

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1215920335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 W GERMANTOWN PIKE",
            "address_2": "SUITE C-2",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011389",
            "telephone_number": "610-277-2750",
            "fax_number": "610-277-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 W. GERMANTOWN PIKE",
            "address_2": "SUITE C-2",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011389",
            "telephone_number": "610-277-2750",
            "fax_number": "610-277-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERMELSTEIN",
        "first_name": "ANDREW",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD061891L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0416013000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "0416013000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2584",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "960047",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

Verify at the official NPI Registry.