Individual provider Active NPI

Mark Real, M.D

  • Internal Medicine Physician
  • Limerick, PA
National Provider Identifier
1295871598
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD024203E Issued in PA
Practice address
420 W Linfield Rd
Suite 100
Limerick, PA 19468-4278
Phone
(610) 495-2300
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MD024203E PA Primary

Addresses

Primary practice location

420 W Linfield Rd
Suite 100
Limerick, PA 19468-4278

Mailing address

PO Box 525
Phoenixville, PA 19460-0525
Phone (610) 933-8000

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
I20111219000599 PA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 7214102359 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Penn Medicine-Pma Internal Medicine CurrentSince Jan 25, 2022 Accepting new patients
Penn Medicine-Pma CurrentSince Jan 25, 2022 Accepting new patients

Locations

150 Monument Rd
Ste 400
Bala Cynwyd, PA 19004
Phone (610) 747-3470

826 Main St
Ste 100
Phoenixville, PA 19460
Phone (610) 933-8000

824 Main St
Ste 100
Phoenixville, PA 19460
Phone (610) 933-8000

Interoperability endpoints

  • FHIR API: https://ssproxy.pennhealth.com/PRD-FHIR/api/FHIR/R4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295871598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 525",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194600525",
            "telephone_number": "610-933-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W LINFIELD RD",
            "address_2": "SUITE 100",
            "city": "LIMERICK",
            "state": "PA",
            "postal_code": "194684278",
            "telephone_number": "610-495-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAL",
        "first_name": "MARK",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD024203E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Limerick, PA

Sources for this page

Verify at the official NPI Registry.