Individual provider Active NPI

Atiba E. Bell, MD

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1407016405
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N2400 Issued in TX
Practice address
245 N 15TH St
Mail Stop 1011
Philadelphia, PA 19102-1101
Phone
(215) 762-2365
NPI assigned
Jun 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MT188801 PA
Emergency Medicine Physician 207P00000X N2400 TX Primary

Addresses

Primary practice location

245 N 15TH St
Mail Stop 1011
Philadelphia, PA 19102-1101

Mailing address

215 E Camden Ave Apt N5
Moorestown, NJ 08057-1614
Phone (202) 276-5006

Other identifiers 4

IdentifierTypeStateIssuer
1407016405OtherTXTRICARE SOUTH
8CA046OtherTXBCBSTX
1407016405OtherTXBCBSTX
202760901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090622000589 TX Practitioner - Emergency Medicine 5395896930 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Georgetown University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Hospital Based Physician GroupGroup PAC ID 4385075480, 272 clinicians

Practice addresses (Care Compare)

27800 Northwest Fwy
Memorial Hermann Emergency Physicians
Cypress, TX 77433-5302
Phone (713) 338-6565

Hospital & facility affiliations

  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT188801PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince May 1, 2011 Accepting new patients
TK Emergency Physicians Group PLLC Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Memorial Hermann Hospital Based Physician Group Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Fort Bend Emergency Associates PA Emergency Medicine Past Accepting new patients
Drexel University College of Medicine Past Accepting new patients

Locations

14120 FM 2100 Rd
Crosby, TX 77532
Phone (281) 328-7770

27800 NW Freeway
Cypress, TX 77433
Phone (346) 231-4000

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

23900 Katy Fwy
Katy, TX 77494
Phone (281) 644-7000

22430 Grand Corner Dr
Ste C1
Katy, TX 77494
Phone (281) 371-1818

2555 Gulf Fwy S
#C1100
League City, TX 77573

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

8780 Highway 6
Ste C1100
Missouri City, TX 77459

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

11233 Shadow Creek Pkwy
Ste 313
Pearland, TX 77584
Phone (346) 352-5100

22678 Highway 59
Porter, TX 77365
Phone (281) 354-4654

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

9250 Pinecroft Dr
#C
Shenandoah, TX 77380

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1407016405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E CAMDEN AVE APT N5",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571614",
            "telephone_number": "202-276-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N 15TH ST",
            "address_2": "MAIL STOP 1011",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021101",
            "telephone_number": "215-762-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "ATIBA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT188801",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N2400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1407016405",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8CA046",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "1407016405",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202760901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.