Individual provider Active NPI

Mitchell Sternlieb, M.D.

  • Infectious Disease Physician
  • Wynnewood, PA
National Provider Identifier
1457797706
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD461588 Issued in PA
Practice address
100 E Lancaster Ave
Mob East 556
Wynnewood, PA 19096
Phone
(610) 896-0210
Fax
(610) 896-5101
NPI assigned
May 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD461588 PA Primary

Addresses

Primary practice location

100 E Lancaster Ave
Mob East 556
Wynnewood, PA 19096

Mailing address

100 E Lancaster Ave
Mob East 556
Wynnewood, PA 19096
Phone (610) 896-0210

Other identifiers 1

IdentifierTypeStateIssuer
103292190MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mitchell.sternlieb@dvid.eclinicaldirectplus.com

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
I20170925002904 PA Practitioner - Infectious DiseasePractitioner - Internal Medicine 3577858273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Pennsylvania State University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware Valley I.D. Associates, P.C.Group PAC ID 2365421161, 11 clinicians

Practice addresses (Care Compare)

100 E Lancaster Ave
Suite 467
Wynnewood, PA 19096-3434
Phone (610) 896-0210

Hospital & facility affiliations

  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195
  • Temple Health - Chestnut Hill Hospital Hospital, Philadelphia, PA, CCN 390026
  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD461588PAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Valley I.D. Associates, P.C. Infectious Disease CurrentSince Jul 3, 2018 Accepting new patients

Locations

100 E Lancaster Ave
Ste 467
Wynnewood, PA 19096
Phone (610) 896-0210

100 E Lancaster Ave
Ste 164
Wynnewood, PA 19096
Phone (610) 896-0210

100 E Lancaster Ave
Ste 556
Wynnewood, PA 19096
Phone (610) 649-6980

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

Organizations & group practices 1

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 4

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": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1457797706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "MOB EAST 556",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "19096",
            "telephone_number": "610-896-0210",
            "fax_number": "610-896-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "MOB EAST 556",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "19096",
            "telephone_number": "610-896-0210",
            "fax_number": "610-896-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERNLIEB",
        "first_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-14",
        "last_updated": "2023-11-27",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD461588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103292190",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mitchell.sternlieb@dvid.eclinicaldirectplus.com",
            "affiliation": "Y",
            "address_1": "100 E Lancaster Ave",
            "address_2": "MOB East 556",
            "city": "Wynnewood",
            "state": "PA",
            "country_code": "US",
            "postal_code": "19096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.