Individual provider Active NPI

John M Feehery, MD

  • Otolaryngology Physician
  • Chester, PA
National Provider Identifier
1396826061
Registry record updated Dec 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD068058L Issued in PA
Practice address
2112 Providence Ave
Chester, PA 19013
Phone
(610) 874-5366
Fax
(610) 874-8448
NPI assigned
Oct 18, 2006
Last updated
Dec 19, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD068058L PA Primary

Addresses

Primary practice location

2112 Providence Ave
Chester, PA 19013

Mailing address

2112 Providence Ave
Chester, PA 19013
Phone (610) 874-5366

Other identifiers 2

IdentifierTypeStateIssuer
000927260OtherPAIBC PPO
0878208000OtherPAIBC HMO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100729000764 PA Practitioner - Otolaryngology 9133182330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Jefferson Medical College of Thomas Jefferson University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Ear Nose and Throat Associates IncGroup PAC ID 1456349497, 12 clinicians

Practice addresses (Care Compare)

1098 W Baltimore Pike
Media, PA 19063-5139
Phone (610) 874-5366

2112 Providence Ave
Chester, PA 19013-5507
Phone (610) 874-5366

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.66 of 100Reported as group
Quality
71.67
Improvement activities
40
Cost
73.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD068058LPAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Ear Nose & Throat Associates Inc Otolaryngology CurrentSince Jul 1, 2001 Accepting new patients
Pinnacle ENT Alliance LLC CurrentSince Oct 5, 2025 Accepting new patients
Providence Hearing Aid Center PastSince Jan 4, 2010 Accepting new patients

Locations

2112 Providence Ave
Chester, PA 19013
Phone (610) 600-1005

500 Evergreen Dr
Ste 18
Glen Mills, PA 19342
Phone (610) 459-3495

301 W Chester Pike
Ste 101
Havertown, PA 19083
Phone (610) 446-6900

1098 W Baltimore Pike
Ste 3406
Media, PA 19063
Phone (610) 600-1005

Interoperability endpoints

  • Direct secure messaging: jfeehery@providenceent.medentdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261180800000",
    "number": "1396826061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 PROVIDENCE AVE",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-874-5366",
            "fax_number": "610-874-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 PROVIDENCE AVE",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-874-5366",
            "fax_number": "610-874-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEEHERY",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2009-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD068058L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC PPO",
            "identifier": "000927260",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC HMO",
            "identifier": "0878208000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

Verify at the official NPI Registry.