Individual provider Active NPI

Saleemah Flythe, PA-C

  • Medical Physician Assistant
  • Bensalem, PA
National Provider Identifier
1366837957
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
TMA053014 Issued in PA
Practice address
3260 Tillman Dr
Suite 120
Bensalem, PA 19020-2029
Phone
(215) 305-8834
Fax
(267) 332-0323
NPI assigned
Apr 1, 2015
Last updated
Jun 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X TMA053014 PA Primary

Addresses

Primary practice location

3260 Tillman Dr
Suite 120
Bensalem, PA 19020-2029

Mailing address

3260 Tillman Dr
Suite 120
Bensalem, PA 19020-2029
Phone (215) 305-8834

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150619000631 PA Practitioner - Physician Assistant 3476864216 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Demand Urgent Care Group PCGroup PAC ID 5991029712, 95 clinicians

Practice addresses (Care Compare)

1305 W Chester Pike
Havertown, PA 19083-2929
Phone (610) 482-4949

3356 Aramingo Ave
Philadelphia, PA 19134-4506
Phone (215) 999-3356

4190 City Ave
Suite 101
Philadelphia, PA 19131-1627
Phone (215) 857-5300

5828 Market St
Philadelphia, PA 19139-3152
Phone (267) 892-5828

599 E Lancaster Ave
St Davids, PA 19087-5109
Phone (484) 254-4984

920 Dekalb Pike
Suite 100
Blue Bell, PA 19422-1810
Phone (267) 289-1770

Merit-based Incentive Payment System (MIPS)

Final score
86.37 of 100Reported as group
Quality
70.23
Promoting interoperability
100
Improvement activities
40
Cost
77.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
TMA053014PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stairway to Health LLC Past Accepting new patients
Premier Emergency Physicians, LLC Past Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: saleemah.flythe.1@14965.direct.athenahealth.com

Organizations & group practices 6

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": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1366837957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 TILLMAN DR",
            "address_2": "SUITE 120",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202029",
            "telephone_number": "215-305-8834",
            "fax_number": "267-332-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 TILLMAN DR",
            "address_2": "SUITE 120",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202029",
            "telephone_number": "215-305-8834",
            "fax_number": "267-332-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYTHE",
        "first_name": "SALEEMAH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "TMA053014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

Verify at the official NPI Registry.