Individual provider Active NPI

Alberto J Larrieu, MD

  • Family Medicine Physician
  • Feasterville Trevose, PA
National Provider Identifier
1447209614
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD025835E Issued in PA
Practice address
1200 Bustleton Pike Ste 7
Feasterville Trevose, PA 19053-4108
Phone
(267) 288-5060
NPI assigned
May 8, 2006
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD025835E PA Primary

Addresses

Primary practice location

1200 Bustleton Pike Ste 7
Feasterville Trevose, PA 19053-4108

Mailing address

1200 Bustleton Pike Ste 7
Feasterville Trevose, PA 19053-4108
Phone (267) 288-5060

Other identifiers 3

IdentifierTypeStateIssuer
0008205170001MedicaidPA
416156OtherPAHIGHMARK BS
930093851OtherPARAILROAD MEDICARE

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
I20090710000177 PA Practitioner - Internal MedicinePractitioner - General SurgeryPractitioner - Psychiatry 9638221369 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Better Health Wellness, LLC Family Medicine CurrentSince Jan 7, 2025 Accepting new patients
Accommodating Healthcare Solutions, PC CurrentSince Oct 1, 2022 Accepting new patients
Ahsopc Therapy, PC CurrentSince Mar 17, 2024 Accepting new patients
Temple Physicians Inc Emergency Medicine Past Accepting new patients

Locations

1200 Bustleton Pike
Ste 3
Feasterville Trevose, PA 19053
Phone (267) 288-5060

1200 Bustleton Pike
Ste 7
Fstrvl Trvose, PA 19053
Phone (267) 288-5060

2173 Macdade Blvd
Ste L
Holmes, PA 19043
Phone (267) 288-5060

2514 S 24th St
Fl 2
Philadelphia, PA 19145
Phone (215) 694-9769

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1447209614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BUSTLETON PIKE STE 7",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190534108",
            "telephone_number": "267-288-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BUSTLETON PIKE STE 7",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190534108",
            "telephone_number": "267-288-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRIEU",
        "first_name": "ALBERTO",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD025835E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008205170001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "416156",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930093851",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Feasterville Trevose, PA

Sources for this page

Verify at the official NPI Registry.