NPIMap

Individual provider Active NPI

Ann G Till, MD

  • Internal Medicine Physician
  • King of Prussia, PA
National Provider Identifier
1225188535
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD430059 Issued in PA
Practice address
860 First Ave Ste 4B
King of Prussia, PA 19406-4033
Phone
(610) 265-1251
Fax
(610) 265-1252
NPI assigned
Jan 11, 2007
Last updated
Feb 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD430059 PA Primary

Addresses

Primary practice location

860 First Ave Ste 4B
King of Prussia, PA 19406-4033

Mailing address

860 1St Ave
Suite 4B
King of Prussia, PA 19406
Phone (610) 265-1251

Other identifiers 2

IdentifierTypeStateIssuer
1978047OtherPABS
7205846OtherPAAETNA

Other names 1

  • Ann Marie Gallagher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070116000053 PA Practitioner - Internal Medicine 5698776789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Frederic S Becker MD PCGroup PAC ID 6901849140, 5 clinicians

Practice addresses (Care Compare)

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

860 1St Ave
4B
King of Prussia, PA 19406-4033
Phone (610) 265-1251

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.13 of 100Reported as group
Quality
96.1
Promoting interoperability
100
Improvement activities
40
Cost
57.68

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederic S Becker MD PC Internal Medicine CurrentSince Jan 1, 2007 Accepting new patients

Locations

860 1st Ave
Ste 4B
Kng of Prussa, PA 19406
Phone (610) 265-1251

Interoperability endpoints

  • Direct secure messaging: ann.till.1@13967.direct.athenahealth.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, 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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1225188535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 1ST AVE",
            "address_2": "SUITE 4B",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "19406",
            "telephone_number": "610-265-1251",
            "fax_number": "610-265-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 FIRST AVE STE 4B",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064033",
            "telephone_number": "610-265-1251",
            "fax_number": "610-265-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILL",
        "first_name": "ANN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD430059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "1978047",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7205846",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "GALLAGHER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.