Active NPI
John R Traverso, DO
- Family Medicine Physician
- Springfield, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS010381L
- Practice address
- 965 Baltimore Pike Ste B2
Springfield, PA 19064-3997 - Phone
- (484) 573-5116
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS010381L | PA | Primary |
Addresses
Primary practice location
965 Baltimore Pike Ste B2
Springfield, PA 19064-3997
Mailing address
3803 W Chester Pike Ste 160
Newtown Square, PA 19073-2336
Phone (484) 337-1632
Other practice location 1
8 Morton Ave
Ridley Park, PA 19078-2210
Phone (610) 595-6850
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
965 Baltimore Pike
B2
Springfield, PA 19064-3957
Phone (484) 479-2600
Hospital & facility affiliations
- Main Line Health Home Care & Hospice - Home Health
- Bayada Home Health Care, Inc.
- Main Line Hospital Lankenau
- Riddle Memorial Hospital
- Bryn Mawr Hospital
- Aventura at Prospect
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS010381L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Family Medicine | Current | Accepting new patients |
| Prospect Health Access Network, Inc. | Family Medicine | Current | Accepting new patients |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Aventura at Prospect, LLC | Past | Accepting new patients | |
| Prospect Health Access Network, Inc. | Past | Accepting new patients | |
| Allied Medical Associates, P.C. | Past | Accepting new patients |
Locations
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744
1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666
3001 Garrett Rd
Ste C
Drexel Hill, PA 19026
Phone (610) 626-0111
3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530
8 Morton Ave
Ste 303
Ridley Park, PA 19078
Phone (610) 521-1512
100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281
965 Baltimore Pike
Ste B2
Springfield, PA 19064
Phone (484) 479-2600
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Newtown Square, PA
- NPI 1922077643
-
- Emergency Medicine Physician
- Chester, PA
- NPI 1568819084
-
- Diagnostic Radiology Physician
- Chester, PA
- NPI 1154776797
Family Medicine
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Lansdowne, PA
- NPI 1790979524
-
- Skilled Nursing Facility
- Prospect Park, PA
- NPI 1720561871
-
- Gynecologic Oncology Physician
- Chester, PA
- NPI 1134574775
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newtown Square, PA
- NPI 1497796544
-
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
-
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
-
- General Acute Care Hospital
- Media, PA
- NPI 1407856099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750982400000",
"number": "1235212614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3803 W CHESTER PIKE STE 160",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190732336",
"telephone_number": "484-337-1632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "965 BALTIMORE PIKE STE B2",
"city": "SPRINGFIELD",
"state": "PA",
"postal_code": "190643997",
"telephone_number": "484-573-5116"
}
],
"practiceLocations": [
{
"address_1": "8 Morton Ave",
"address_purpose": "LOCATION",
"city": "Ridley Park",
"state": "PA",
"postal_code": "190782210",
"country_code": "US",
"telephone_number": "610-595-6850",
"fax_number": "610-595-6892",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAVERSO",
"first_name": "JOHN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS010381L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.