Individual provider Active NPI

Mark Bundschuh

  • Gastroenterology Physician
  • Jenkintown, PA
National Provider Identifier
1437683208
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD480329 Issued in PA
Practice address
1095 Rydal Rd Ste 100
Jenkintown, PA 19046-1711
Phone
(267) 620-1100
NPI assigned
Apr 18, 2017
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD480329 PA Primary

Addresses

Primary practice location

1095 Rydal Rd Ste 100
Jenkintown, PA 19046-1711

Mailing address

1095 Rydal Rd Ste 100
Jenkintown, PA 19046-1711
Phone (267) 620-1100

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
I20230629003588 PA Practitioner - Gastroenterology 3072879121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Temple University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amh Medical Staff Service FundGroup PAC ID 9830003813, 41 clinicians

Practice addresses (Care Compare)

1095 Rydal Park Rd
Suite 100
Meadowbrrok, PA 19046-4404
Phone (267) 620-1100

1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy120
Upper gastrointestinal (GI) endoscopy for acid reflux131

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Associates in Healthcare, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Methodist Associates in Healthcare, Inc Gastroenterology Current Accepting new patients
Amh Medical Staff Service Fund CurrentSince Jan 28, 2024 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Jul 1, 2023 Accepting new patients
Jefferson University Physicians Gastroenterology Past Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1600 Horizon Dr
Ste 105
Chalfont, PA 18914
Phone (215) 368-6009

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

1095 Rydal Rd
Ste 100
Rydal, PA 19046
Phone (267) 620-1100

2500 Maryland Rd
Ste 400
Willow Grove, PA 19090
Phone (215) 481-3915

2510 Maryland Rd
Ste 200
Willow Grove, PA 19090

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": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1437683208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 RYDAL RD STE 100",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461711",
            "telephone_number": "267-620-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 RYDAL RD STE 100",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461711",
            "telephone_number": "267-620-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDSCHUH",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-18",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD480329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.