NPIMap

Individual provider Active NPI

Clara C. Tiburcio, MD

  • Family Medicine Physician
  • Collegeville, PA
National Provider Identifier
1578505285
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD065206L Issued in PA
Practice address
1 Iron Bridge Dr Ste 150
Collegeville, PA 19426-2058
Phone
(484) 622-6320
Fax
(484) 622-6337
NPI assigned
Jun 10, 2006
Last updated
Apr 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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 MD065206L PA Primary

Addresses

Primary practice location

1 Iron Bridge Dr Ste 150
Collegeville, PA 19426-2058

Mailing address

1 Iron Bridge Dr
Ste 150
Collegeville, PA 19426-2058
Phone (484) 622-6320

Other identifiers 15

IdentifierTypeStateIssuer
5480666OtherPAAETNA PPO
10937644OtherPACAQH ID#
0900458OtherPACIGNA HMO/PPO
1085094OtherPAKEYSTONE MERCY
122330OtherPAHIGHMARK BLUE SHIELD
0102337000OtherPAIBC - PC/KHPE
P1272087OtherPAOXFORD
2124456OtherPAALLIANCE/OPT CHC (MAMSI)
080135389OtherPARRM
16452-MD065206LOtherPAHEALTH PARTNERS
2087354OtherPAAETNA HMO
500244OtherPAPHCS
0017520460001MedicaidPA
0102337000OtherPAAMERIHEALTH/INTERCOUNTY
0175204602OtherPAAMERICHOICE (UHC MA PLAN)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101112000231 PA Practitioner - Family Practice 4880889195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fornance Physician Services IncGroup PAC ID 8527962661, 105 clinicians

Practice addresses (Care Compare)

100 Market St
Suite 300
Collegeville, PA 19426-4927
Phone (215) 997-9441

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD065206LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fornance Physician Services, Inc Current Accepting new patients
Einstein Community Health Associates, Inc CurrentSince Jan 1, 2026 Accepting new patients
Einstein Community Health Associates, Inc Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Fornance Physician Services, Inc. CurrentSince Jun 20, 1998 Accepting new patients
Fornance Physician Services, Inc. Family Medicine Current Accepting new patients
Fornance Physician Services, Inc. Family Medicine CurrentSince Jun 20, 1998 Accepting new patients
Fornance Physician Services, Inc. Family Medicine Past Accepting new patients
Fornance Physician Services, Inc. Family Medicine Past Accepting new patients

Locations

721 Skippack Pike
Ste 3
Blue Bell, PA 19422
Phone (215) 793-0600

1 Iron Bridge Dr
Ste 150
Collegeville, PA 19426
Phone (484) 622-6320

100 Market St
Ste 300
Collegeville, PA 19426
Phone (484) 622-6400

210 Mall Blvd
Ste 102
Kng of Prussa, PA 19406
Phone (610) 265-0726

1330 Powell St
Ste 409
Norristown, PA 19401
Phone (484) 622-7510

1437 DeKalb St
Ste 201
Norristown, PA 19401
Phone (610) 272-5341

342 W Germantown Pike
Ste 200
Norristown, PA 19403
Phone (610) 279-1500

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

4070 Butler Pike
Ste 200
Plymouth Mtng, PA 19462
Phone (610) 825-5741

545 W Main St
Trappe, PA 19426
Phone (610) 489-5782

Interoperability endpoints

  • Direct secure messaging: clara.tiburcio@direct.einstein.edu

Organizations & group practices 8

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.

Hospital & facility affiliations 9

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1578505285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 IRON BRIDGE DR",
            "address_2": "STE 150",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262058",
            "telephone_number": "484-622-6320",
            "fax_number": "484-622-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 IRON BRIDGE DR STE 150",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262058",
            "telephone_number": "484-622-6320",
            "fax_number": "484-622-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBURCIO",
        "first_name": "CLARA",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD065206L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5480666",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID#",
            "identifier": "10937644",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO/PPO",
            "identifier": "0900458",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1085094",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "122330",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC - PC/KHPE",
            "identifier": "0102337000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1272087",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE/OPT CHC (MAMSI)",
            "identifier": "2124456",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM",
            "identifier": "080135389",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "16452-MD065206L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2087354",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "500244",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017520460001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/INTERCOUNTY",
            "identifier": "0102337000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE (UHC MA PLAN)",
            "identifier": "0175204602",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

Verify at the official NPI Registry.