Individual provider Active NPI

Myron L Sewell, MD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1528089612
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD031348E Issued in PA
Practice address
5201 Haverford Ave.
Philadelphia, PA 19139-1401
Phone
(215) 471-2761
Fax
(215) 472-6093
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD031348E PA Primary
Internal Medicine Physician 207R00000X 25MA04169400 NJ

Addresses

Primary practice location

5201 Haverford Ave.
Philadelphia, PA 19139-1401

Mailing address

5201 Haverford Ave.
Philadelphia, PA 19139-1401
Phone (215) 471-2761

Other practice location 1

651 High St
Burlington, NJ 08016-2737
Phone (609) 386-0775

Other identifiers 3

IdentifierTypeStateIssuer
009858110MedicaidPA
00548140000OtherPAKEYSTONE HEALTH PLAN EAST
009858110002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100805000815 NJ Practitioner - Internal Medicine 1456484856 Reassigns benefits to 1 organization
I20110404000658 PA Practitioner - Internal Medicine 1456484856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Health Services IncGroup PAC ID 0840242467, 21 clinicians
Southern Jersey Family Medical Centers, IncGroup PAC ID 0547170763, shared by 8 NPIs, 42 clinicians

Practice addresses (Care Compare)

1325 S 33Rd St
Philadelphia, PA 19146-3303
Phone (267) 275-4095

1415 N Broad St
Suite 224
Philadelphia, PA 19122-3325
Phone (267) 275-4095

5201 Haverford Ave
Philadelphia, PA 19139-1401
Phone (267) 275-4095

651 High St
Burlington City, NJ 08016-2737
Phone (609) 386-0775

860 S White Horse Pike
Hammonton, NJ 08037-2018
Phone (609) 567-0200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04169400NJMDInternal Medicine Physician
MD031348EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Jersey Family Medical Centers, Inc. CurrentSince May 15, 2010 Accepting new patients
Spectrum Health Services, Inc. CurrentSince Dec 1, 2019 Accepting new patients
Spectrum Health Services, Inc. CurrentSince Dec 1, 2019 Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince May 15, 2010 Accepting new patients
Spectrum Health Services Inc Past Accepting new patients
Virtua - Memorial Hospital Burlington County, Inc. Past Accepting new patients

Locations

1125 Atlantic Ave
Atlantic City, NJ 08401
Phone (609) 348-0066

651 High St
Burlington City, NJ 08016
Phone (609) 386-0775

860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

1 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

5201 Haverford Ave
Philadelphia, PA 19139
Phone (215) 472-6097

1415 N Broad St
Ste 224
Philadelphia, PA 19122
Phone (267) 275-4095

1325 S 33rd St
Fl 3
Philadelphia, PA 19146
Phone (215) 220-3925

1325 S 33rd St
Ste 300
Philadelphia, PA 19146

Interoperability endpoints

  • Direct secure messaging: myron.sewell.1@20090.direct.athenahealth.com

Organizations & group practices 6

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 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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1528089612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 HAVERFORD AVE.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191391401",
            "telephone_number": "215-471-2761",
            "fax_number": "215-472-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 HAVERFORD AVE.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191391401",
            "telephone_number": "215-471-2761",
            "fax_number": "215-472-6093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 High St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NJ",
            "postal_code": "080162737",
            "country_code": "US",
            "telephone_number": "609-386-0775",
            "fax_number": "609-386-4372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "MYRON",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD031348E",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04169400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009858110",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "00548140000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009858110002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.