Individual provider Active NPI

Michael A Minni, DO

  • Family Medicine Physician
  • Phila, PA
National Provider Identifier
1568854594
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS020298 Issued in PA
Practice address
701 E Cathedral Rd Ste 11
Phila, PA 19128-2128
Phone
(267) 766-6321
NPI assigned
Feb 27, 2015
Last updated
May 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS020298 PA Primary

Addresses

Primary practice location

701 E Cathedral Rd Ste 11
Phila, PA 19128-2128

Mailing address

701 E Cathedral Rd Ste 11
Phila, PA 19128-2128

Other practice location 1

10800 Knights Rd
Phila, PA 19114-4200
Phone (215) 632-3630

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
I20191202000734 PA Practitioner - Family Practice 7618300807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roxborough Medical of Andorra LLCGroup PAC ID 0941520670, 7 clinicians

Practice addresses (Care Compare)

701 E Cathedral Rd
Suite 11
Philadelphia, PA 19128-2128
Phone (267) 766-6321

Merit-based Incentive Payment System (MIPS)

Final score
86.37 of 100Reported as group
Quality
70.23
Promoting interoperability
100
Improvement activities
40
Cost
77.22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
On Demand Urgent Care Group PC CurrentSince Sep 20, 2022 Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients

Locations

3356 Aramingo Ave
Philadelphia, PA 19134
Phone (215) 739-6600

6060 Ridge Ave
Ste 100
Philadelphia, PA 19128
Phone (215) 483-6600

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1568854594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E CATHEDRAL RD STE 11",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191282128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E CATHEDRAL RD STE 11",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191282128",
            "telephone_number": "267-766-6321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10800 Knights Rd",
            "address_purpose": "LOCATION",
            "city": "Phila",
            "state": "PA",
            "postal_code": "191144200",
            "country_code": "US",
            "telephone_number": "215-632-3630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINNI",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-27",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS020298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.