Active NPI
Roberto Panis, M.D.
- Internal Medicine Physician
- Huntingdon Valley, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD039917E
- 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, 2013
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1159035 | Medicaid | PA |
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
- 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
- Holy Redeemer Home Care-PA
- Mercy Home Health
- Holy Redeemer Hospice - PA
- Holy Redeemer Hospital and Medical Center
- Nazareth Hospital
- St Joseph's Manor
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roberto P Panis MD PC | Internal Medicine | Current | 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.
-
- Internal Medicine Physician
- Huntingdon Valley, PA
- NPI 1366599292
-
dba Holy Redeemer Hospital & Medical Center
- General Acute Care Hospital
- Meadowbrook, PA
- NPI 1750371522
-
- Primary Care Clinic/Center
- Huntingdon Valley, PA
- NPI 1083628820
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holy Redeemer Hospice - PA
- Community Based Hospice Care Agency
- Philadelphia, PA
- NPI 1447224597
-
dba Holy Redeemer Home Care - PA
- Home Health Agency
- Philadelphia, PA
- NPI 1972577617
-
dba St. Josephs Manor
- Skilled Nursing Facility
- Meadowbrook, PA
- NPI 1376533109
Nursing home
-
dba Holy Redeemer Hospital & Medical Center
- General Acute Care Hospital
- Meadowbrook, PA
- NPI 1750371522
-
- Home Health Agency
- Newtown, PA
- NPI 1467412296
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.