NPIMap

Organization Active NPI

Uhs of Pennsylvania Inc

  • Psychiatry Physician
  • Ambler, PA
National Provider Identifier
1225128192
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
UHS OF PENNSYLVANIA INC
Practice address
722 E Butler Pike
Ambler, PA 19002-2310
Phone
(610) 524-1552
Fax
(610) 524-6039
NPI assigned
Oct 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Chavez
Title
Cfo
Phone
(610) 524-1552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

722 E Butler Pike
Ambler, PA 19002-2310

Mailing address

722 E Butler Pike
Ambler, PA 19002-2310
Phone (610) 524-1552

Other identifiers 3

IdentifierTypeStateIssuer
1007285950065MedicaidPA
0861509000OtherPAPERSONNAL CHOICE
CD9539OtherPARAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031208000129 PA Part B Supplier - Clinic/Group Practice 3971407438 Receives reassigned benefits from 30 practitioners
1 other NPI on this enrollment
Practice locations: Ambler, PA; Broomall, PA; Coatesville, PA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Roxbury Treatment Center12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lakewood Ranch Medical CenterBradenton, FL, CCN 100299 Hospital Limited Partnership Interest (70%) Jan 1, 2004
Foundations Behavioral Health SystemDoylestown, PA, CCN 394038 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 20, 2007
Manatee Memorial HospitalBradenton, FL, CCN 100035 Hospital 5% Or Greater Direct Ownership Interest (70%)
Limited Partnership Interest (70%)		 Feb 1, 1995
Feb 1, 1995

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225128192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 E BUTLER PIKE",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022310",
            "telephone_number": "610-524-1552",
            "fax_number": "610-524-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 E BUTLER PIKE",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022310",
            "telephone_number": "610-524-1552",
            "fax_number": "610-524-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS OF PENNSYLVANIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "610-524-1552"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007285950065",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONNAL CHOICE",
            "identifier": "0861509000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD9539",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ambler, PA

Sources for this page

Verify at the official NPI Registry.