Individual provider Active NPI

Thomas M Santilli, MD

  • Cardiovascular Disease Physician
  • Meadowbrook, PA
National Provider Identifier
1215939756
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD026340E Issued in PA
Practice address
1650 Huntingdon Pike
Suite 252
Meadowbrook, PA 19046-8001
Phone
(215) 938-1550
Fax
(215) 938-1342
NPI assigned
Aug 15, 2005
Last updated
May 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD026340E PA Primary

Addresses

Primary practice location

1650 Huntingdon Pike
Suite 252
Meadowbrook, PA 19046-8001

Mailing address

PO Box 829641
Philadelphia, PA 19182-9641
Phone (267) 370-5296

Other identifiers 1

IdentifierTypeStateIssuer
000893344002MedicaidPA

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
I20040122000631 PA Practitioner - Cardiovascular Disease (Cardiology) 8022910967 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD026340EPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Via Affiliates CurrentSince Jan 1, 2017 Accepting new patients
Via Affiliates CurrentSince Jan 1, 2017 Accepting new patients
HR Physician Services CurrentSince Jan 1, 2020 Accepting new patients
HR Physician Services CurrentSince Jul 1, 2000 Accepting new patients
HR Physician Services CurrentSince Jun 7, 2014 Accepting new patients
HR Physician Services Current Accepting new patients
HR Physician Services CurrentSince Jun 7, 2014 Accepting new patients
Cardiology Consultants of Montgomery Co PC Cardiovascular Disease Past Accepting new patients

Locations

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

1650 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 707-7200

1650 Huntingdon Pike
Ste 252
Meadowbrook, PA 19046
Phone (215) 938-1550

1650 Huntingdon Pike
Ste 256
Meadowbrook, PA 19046
Phone (215) 914-4444

1650 Huntingdon Pike
Ste 258
Meadowbrook, PA 19046
Phone (215) 938-1550

201 Veterans Way
Warminster, PA 18974
Phone (215) 357-4066

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1215939756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829641",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191829641",
            "telephone_number": "267-370-5296",
            "fax_number": "215-230-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HUNTINGDON PIKE",
            "address_2": "SUITE 252",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468001",
            "telephone_number": "215-938-1550",
            "fax_number": "215-938-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTILLI",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD026340E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000893344002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadowbrook, PA

Sources for this page

Verify at the official NPI Registry.