Individual provider Active NPI

Roberto Panis, M.D.

  • Internal Medicine Physician
  • Huntingdon Valley, PA
National Provider Identifier
1346301801
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD039917E Issued in PA
Practice address
2352 Philmont Ave
Huntingdon Valley, PA 19006-6228
Phone
(215) 947-4574
Fax
(215) 947-0904
NPI assigned
Dec 12, 2006
Last updated
Feb 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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 MD039917E PA Primary

Addresses

Primary practice location

2352 Philmont Ave
Huntingdon Valley, PA 19006-6228

Mailing address

2352 Philmont Ave
Huntingdon Valley, PA 19006-6228
Phone (215) 947-4574

Other identifiers 1

IdentifierTypeStateIssuer
1159035MedicaidPA

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
I20111208000691 PA Practitioner - Internal Medicine 6901071646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2352 Philmont Ave
Huntingdon Valley, PA 19006-6228
Phone (215) 947-4574

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roberto P Panis MD PC Internal Medicine CurrentSince May 22, 1989 Accepting new patients
Huntingdon Valley Medical Associates Past Accepting new patients
Holy Redeemer Health System Past Accepting new patients

Locations

2352 Philmont Ave
Huntingdon Vy, PA 19006
Phone (215) 947-1470

Organizations & group practices 3

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 5

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1346301801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2352 PHILMONT AVE",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066228",
            "telephone_number": "215-947-4574",
            "fax_number": "215-947-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2352 PHILMONT AVE",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066228",
            "telephone_number": "215-947-4574",
            "fax_number": "215-947-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANIS",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD039917E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1159035",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

Verify at the official NPI Registry.