Individual provider Active NPI

Thomas E Peacock, MD

  • Hematology & Oncology Physician
  • Sellersville, PA
National Provider Identifier
1528063195
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD027674E Issued in PA
Practice address
915 Lawn Ave
Sellersville, PA 18960-1551
Phone
(215) 453-3300
Fax
(215) 453-3306
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD027674E PA Primary

Addresses

Primary practice location

915 Lawn Ave
Sellersville, PA 18960-1551

Mailing address

915 Lawn Ave
Suite 202
Sellersville, PA 18960-1551
Phone (215) 453-3300

Other identifiers 1

IdentifierTypeStateIssuer
0010069020004MedicaidPA

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
I20060622000136 PA Practitioner - Hematology/Oncology 7810931268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Temple University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Cancer Specialists P.C.Group PAC ID 7214194091, 44 clinicians

Practice addresses (Care Compare)

915 Lawn Ave
Suite 202
Sellersville, PA 18960-1551
Phone (215) 453-3300

Hospital & facility affiliations

  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203
  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD027674EPAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Cancer Specialists Hematology & Oncology CurrentSince Feb 1, 2012 Accepting new patients
Alliance Cancer Specialists P.C. Hematology & Oncology CurrentSince Feb 1, 2012 Accepting new patients
Greater Phila Cancer & Hematology Specialists PC Hematology & Oncology Current Accepting new patients
Hematology-Oncology Group, P.C. Hematology & Oncology Current Accepting new patients
Thomas Peacock MD Hematology & Oncology PastSince Jan 1, 1990 Accepting new patients

Locations

599 W State St
Ste 312
Doylestown, PA 18901
Phone (215) 345-8444

1203 Langhorne Newtown Rd
Ste 135
Langhorne, PA 19047
Phone (215) 612-5250

915 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-3270

915 Lawn Ave
Ste 202
Sellersville, PA 18960
Phone (215) 453-3300

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1528063195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 LAWN AVE",
            "address_2": "SUITE 202",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601551",
            "telephone_number": "215-453-3300",
            "fax_number": "215-453-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 LAWN AVE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601551",
            "telephone_number": "215-453-3300",
            "fax_number": "215-453-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD027674E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010069020004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.