NPIMap

Individual provider Active NPI

Shawn Thomas Tuttle, MD

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1376003038
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D96569 Issued in MD
Practice address
3400 Spruce St
Philadelphia, PA 19104-4238
Phone
(262) 664-5196
NPI assigned
Mar 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X D96569 MD Primary

Addresses

Primary practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Mailing address

815 Albany St Apt 409a
Boston, MA 02119-2566
Phone (262) 664-5196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230525000023 MD Practitioner - Emergency Medicine 4981060498 Reassigns benefits to 2 organizations
I20241105000910 PA Practitioner - Emergency Medicine 4981060498 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenixville Clinic Company LLCGroup PAC ID 5799796850, 135 clinicians
Pottstown Clinic Company LLCGroup PAC ID 6406857184, 112 clinicians
Tower Health Medical GroupGroup PAC ID 7618889213, 578 clinicians

Practice addresses (Care Compare)

140 Nutt Rd
Phoenixville, PA 19460-3906
Phone (610) 983-1000

1600 E High St
Pottstown, PA 19464-5093
Phone (610) 327-7000

420 S 5TH Ave
Emergency Medicine Tower Health Medical Gro
West Reading, PA 19611-2143
Phone (484) 628-3637

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.24 of 100Reported as group
Quality
75.4
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenixville Clinic Company LLC Emergency Medicine CurrentSince Dec 13, 2024 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Dec 13, 2024 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Tower Health Medical Group CurrentSince Dec 13, 2024 Accepting new patients
Tower Health Medical Group CurrentSince Dec 13, 2024 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 1, 2023 Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince Jun 6, 2023 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Pottstown Clinic Company LLC Emergency Medicine CurrentSince Dec 13, 2024 Accepting new patients

Locations

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 10

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.

Hospital & facility affiliations 9

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1376003038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 ALBANY ST APT 409A",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021192566",
            "telephone_number": "262-664-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "262-664-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "SHAWN",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D96569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.