Individual provider Active NPI

Steven Back, M.D., PH.D.

  • Cardiovascular Disease Physician
  • West Chester, PA
National Provider Identifier
1346653946
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
282928 Issued in MA
Practice address
531 Maple Ave
West Chester, PA 19380-4416
Phone
(610) 692-4382
NPI assigned
Jun 11, 2014
Last updated
Sep 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD459164 PA
Cardiovascular Disease Physician 207RC0000X 282928 MA Primary
Interventional Cardiology Physician 207RI0011X MD459164 PA

Addresses

Primary practice location

531 Maple Ave
West Chester, PA 19380-4416

Mailing address

531 Maple Ave
West Chester, PA 19380-4416
Phone (610) 692-4382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231004001373 DE Practitioner - Cardiovascular Disease (Cardiology) 8820387160 Reassigns benefits to 2 organizations
I20231004001568 MD Practitioner - Cardiovascular Disease (Cardiology) 8820387160 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Cardiovascular Associates, P.a. Cardiovascular Disease CurrentSince Oct 14, 2023 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 7, 2024 Accepting new patients
Christiana Care Health Services, Inc Cardiovascular Disease CurrentSince Mar 7, 2024 Accepting new patients
West Chester Cardiology,PC Cardiovascular Disease CurrentSince Sep 28, 2021 Accepting new patients
Cardiology Physicians, LLC Cardiovascular Disease CurrentSince Oct 14, 2023 Accepting new patients
Brandywine Internal Medicine, LLC Internal Medicine PastSince Sep 28, 2021 Accepting new patients

Locations

121 Becks Woods Dr
Ste 200
Bear, DE 19701
Phone (302) 220-6955

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

1403 Foulk Rd
Ste 101
Wilmington, DE 19803
Phone (302) 661-7676

1403 Foulk Rd
Ste 101A
Wilmington, DE 19803
Phone (302) 661-7676

106 E Main St
Ste 108
Elkton, MD 21921
Phone (302) 366-5658

531 Maple Ave
West Chester, PA 19380
Phone (610) 692-4382

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1346653946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 MAPLE AVE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804416",
            "telephone_number": "610-692-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 MAPLE AVE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804416",
            "telephone_number": "610-692-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACK",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-11",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD459164",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "282928",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD459164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.