Active NPI
Steven Marc Back, M.D.
- Anesthesiology Physician
- Bensalem, PA
National Provider Identifier
1376572875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA09723700
- Practice address
- 3300 Tillman Dr
Bensalem, PA 19020-2071 - Phone
- (215) 244-7400
- NPI assigned
- Jun 30, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD467107 | PA | |
| Anesthesiology Physician | 207L00000X | A78879 | CA | |
| Anesthesiology Physician | 207L00000X | 25MA09723700 | NJ | Primary |
Addresses
Primary practice location
3300 Tillman Dr
Bensalem, PA 19020-2071
Mailing address
610 W. Plymouth Meeting
Suite 150
Bryn Mawr, PA 19462
Phone (610) 525-4966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A788790 | Medicaid | CA |
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
- Anesthesiology
- Education
- Northwestern University Feinberg Medical School, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3300 Tillman Dr
Bensalem, PA 19020-2071
Phone (215) 244-7400
744 W Lancaster Ave
Wayne, PA 19082-2523
Phone (610) 645-2000
Hospital & facility affiliations
- Rothman Orthopaedic Specialty Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A78879 | CA | MD | Anesthesiology Physician |
| MD467107 | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Anesthesiology Medical Group | Anesthesiology | Past | Accepting new patients |
| Pacific Valley Medical Group | Anesthesiology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Wynnewood, PA
- NPI 1053366062
-
- Anesthesiology Physician
- Pasadena, CA
- NPI 1851312862
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1982792743
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bensalem, PA
- NPI 1336378132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1376572875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 W. PLYMOUTH MEETING",
"address_2": "SUITE 150",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "19462",
"telephone_number": "610-525-4966",
"fax_number": "610-525-0874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 TILLMAN DR",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190202071",
"telephone_number": "215-244-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACK",
"first_name": "STEVEN",
"middle_name": "MARC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2023-10-16",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD467107",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A78879",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA09723700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A788790",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bensalem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.