Individual provider Active NPI

Brett Aaron Mitchell, PA-C

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1558853051
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5501 Old York Rd
Philadelphia, PA 19141-3018
Phone
(215) 456-7890
NPI assigned
May 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

5501 Old York Rd
Philadelphia, PA 19141-3018

Mailing address

P.O. Box 829641
Philadelphia, PA 19182-9641
Phone (267) 370-5285

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180820000461 PA Practitioner - Physician Assistant 8820347263 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Demand Urgent Care Group PCGroup PAC ID 5991029712, 95 clinicians

Practice addresses (Care Compare)

1217 S Broad St
Philadelphia, PA 19147-4401
Phone (215) 999-1217

1305 W Chester Pike
Havertown, PA 19083-2929
Phone (610) 482-4949

213 Morton Ave
Folsom, PA 19033-3023
Phone (610) 285-9500

3356 Aramingo Ave
Philadelphia, PA 19134-4506
Phone (215) 999-3356

3626 St Rd
Bensalem, PA 19020-1507
Phone (267) 763-3626

4190 City Ave
Suite 101
Philadelphia, PA 19131-1627
Phone (215) 857-5300

599 E Lancaster Ave
St Davids, PA 19087-5109
Phone (484) 254-4984

6060 Ridge Ave
Suite 100
Philadelphia, PA 19128-1659
Phone (215) 999-6060

920 Dekalb Pike
Suite 100
Blue Bell, PA 19422-1810
Phone (267) 289-1770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Via Affiliates CurrentSince Feb 4, 2019 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jul 1, 2018 Accepting new patients
Fornance Physician Services, Inc CurrentSince Oct 1, 2019 Accepting new patients
Via Affiliates CurrentSince Feb 4, 2019 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jul 1, 2018 Accepting new patients
Fornance Physician Services, Inc. CurrentSince Oct 1, 2019 Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients
Doylestown Emergency Associates PC Past Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients

Locations

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

60 Township Line Rd
Elkins Park, PA 19027
Phone (215) 663-6000

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

Interoperability endpoints

  • Direct secure messaging: brett.mitchell.1@14965.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1558853051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 829641",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191829641",
            "telephone_number": "267-370-5285",
            "fax_number": "215-230-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-456-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "BRETT",
        "middle_name": "AARON",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.