Marco A Albornoz, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

MD040031L Issued in PA

Practice address

1088 W Baltimore Pike Ste 2105
Media, PA 19063-5136

Phone

(610) 237-5801

Fax

(610) 237-5802

NPI assigned

Oct 23, 2006

Last updated

Apr 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 3

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

Specialty

RheumatologyAlso: Internal Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riddle Memorial Hospital Hospital, Media, PA, CCN 390222
• Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195
• Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
• Mercy Catholic Medical Center- Mercy Fitzgerald Hospital, Darby, PA, CCN 390156
• Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
• Bryn Mawr Rehabilitation Hospital Inpatient rehabilitation facility, Malvern, PA, CCN 393025

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Rheumatology Medical Specialists PC

  • Rheumatology Physician
  • Media, PA
  • NPI 1669877882
  Medicare reassignment NPD Authorized official
• Marco a Albornoz MD

  • Internal Medicine Physician
  • Media, PA
  • NPI 1003225004
  NPD (past) Authorized official
• Infectious Diseases Medical Associates, LLC

  • Infectious Disease Physician
  • Darby, PA
  • NPI 1992967624
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital of the University of PA

  • Ambulatory Fertility Facility
  • Phila, PA
  • NPI 1033262316

  Hospital

  Care Compare affiliation
• Main Line Hospitals, Inc.

  dba Lankenau Hospital

  • General Acute Care Hospital
  • Wynnewood, PA
  • NPI 1245335629
  Care Compare affiliation
• Main Line Hospitals, Inc.

  dba Bryn Mawr Rehabilitation Hospital

  • Rehabilitation Hospital
  • Malvern, PA
  • NPI 1396850368

  Inpatient rehabilitation facility

  Care Compare affiliation
• Main Line Hospitals, Inc.

  dba Bryn Mawr Hospital

  • General Acute Care Hospital
  • Bryn Mawr, PA
  • NPI 1508971441
  Care Compare affiliation
• Riddle Memorial Hospital

  • General Acute Care Hospital
  • Media, PA
  • NPI 1407856099
  Care Compare affiliation
• Trustees of the University of Pennsylvania

  dba Hospital of the University of Pennsylvania

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1851370910
  Care Compare affiliation

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1255414207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 W BALTIMORE PIKE STE 2105",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635136",
            "telephone_number": "610-565-2415",
            "fax_number": "484-444-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 W BALTIMORE PIKE STE 2105",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635136",
            "telephone_number": "610-237-5801",
            "fax_number": "610-237-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBORNOZ",
        "first_name": "MARCO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD040031L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011646990003",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marco.albornoz.p1@direct.rmspc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1503 Lansdowne Ave",
            "address_2": "Suite 3010",
            "city": "Darby",
            "state": "PA",
            "country_code": "US",
            "postal_code": "19023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marco.albornoz.p1@direct.rmspc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1503 Lansdowne Ave",
            "address_2": "Suite 3010",
            "city": "Darby",
            "state": "PA",
            "country_code": "US",
            "postal_code": "19023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marco.albornoz.p1@direct.rmspc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1088 W Baltimore Pike Ste 2105",
            "city": "Media",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190635136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aesthetic Facial Plastic Surgery Center, Inc.
• Affiliates Hospice LLC (Xenia Hospice & Palliative Care)
• Ritika Aggarwal
• Theresa Agostinelli
• Marquita Melana Ajibade
• Mark Christopher Alderman, DC
• Jwala Alex, PHARMD
• Lauren A Alexander, DPT
• Mai Vy Alexander, CRNA
• Syed Ali, D.O.

• Rheumatology Physician in Media, PA
• Providers in Media, PA by specialty
• Rheumatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.

Verify at the official NPI Registry.