Organization Active NPI

Main Line Health Imaging LP

  • Diagnostic Radiology Physician
  • Wynnewood, PA
National Provider Identifier
1477504264
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MAIN LINE HEALTH IMAGING LP
Practice address
100 E Lancaster Ave
Wynnewood, PA 19096-3450
Phone
(610) 526-2200
NPI assigned
May 15, 2006
Last updated
Apr 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
Peter A VillasNPI 1518901404
Title
MD
Phone
(717) 390-2479

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

100 E Lancaster Ave
Wynnewood, PA 19096-3450

Mailing address

100 E Lancaster Ave
Wynnewood, PA 19096-3450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL, NJ, CA, CO, TN, MO, NY, GA, WA10 enrollments

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
O20040316000319 PA Part B Supplier - Clinic/Group Practice 7618867664 Receives reassigned benefits from 67 practitioners
Practice locations: Newtown Square, PA; Paoli, PA; Philadelphia, PA; Wexford, PA; Exton, PA; Bryn Mawr, PA; Blue Bell, PA; Ardmore, PA…
O20260310002132 FL Part B Supplier - Clinic/Group Practice 7618867664 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL
O20260313002524 NJ Part B Supplier - Clinic/Group Practice 7618867664 Receives reassigned benefits from 2 practitioners
Practice locations: Holmdel, NJ; Passaic, NJ
O20260323002077 CA Part B Supplier - Clinic/Group Practice 7618867664 Receives reassigned benefits from 1 practitioner
Practice locations: Rancho Palos Verdes, CA
O20260324003295 CO Part B Supplier - Clinic/Group Practice 7618867664 Receives reassigned benefits from 1 practitioner
Practice locations: Littleton, CO
O20260327000910 TN Part B Supplier - Clinic/Group Practice 7618867664 Receives reassigned benefits from 1 practitioner
Practice locations: Brentwood, TN
O20260331001982 MO Part B Supplier - Clinic/Group Practice 7618867664 Receives reassigned benefits from 3 practitioners
Practice locations: Wildwood, MO; Columbia, MO; Chesterfield, MO
O20260417001060 NY Part B Supplier - Clinic/Group Practice 7618867664 Receives reassigned benefits from 2 practitioners
Practice locations: Clayton, NY; New York, NY
O20260505003307 GA Part B Supplier - Clinic/Group Practice 7618867664 Receives reassigned benefits from 1 practitioner
Practice locations: Johns Creek, GA
O20260506001412 WA Part B Supplier - Clinic/Group Practice 7618867664 Receives reassigned benefits from 1 practitioner
Practice locations: Blaine, WA

National Provider Directory

National Provider Directory

Locations

495 Thomas Jones Way
Ste 104
Exton, PA 19341
Phone (610) 280-6103

3855 West Chester Pike
#170
Newtown Square, PA 19073
Phone (484) 337-6130

255 W Lancaster Ave
Ste 131
Paoli, PA 19301
Phone (610) 560-8060

Practitioners & affiliated clinicians

Practitioners 149

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 149

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1477504264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-526-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE HEALTH IMAGING LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "VILLAS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "717-390-2479"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.