Active NPI
Robert S Shusman, MD
- Family Medicine Physician
- Springfield, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD027134E
- Practice address
- 9 N Brookside Rd
Springfield, PA 19064-2527 - Phone
- (610) 543-5300
- Fax
- (610) 543-3124
- NPI assigned
- Jul 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD027134E | PA | Primary |
Addresses
Primary practice location
9 N Brookside Rd
Springfield, PA 19064-2527
Mailing address
450 Park Way
Suite 300
Broomall, PA 19008-4202
Phone (484) 422-8080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0013981050003 | Medicaid | PA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD027134E | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penn Medicine-Pma | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health | Family Medicine | Current | Accepting new patients |
| Penn Medicine-Pma | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health | Current | Accepting new patients |
Locations
150 Monument Rd
Ste 400
Bala Cynwyd, PA 19004
Phone (610) 747-3470
301 W Chester Pike
Ste 201
Havertown, PA 19083
Phone (610) 853-2900
9 N Brookside Rd
Springfield, PA 19064
Phone (610) 543-5300
777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775
Interoperability endpoints
- https://ssproxy.pennhealth.com/PRD-FHIR/api/FHIR/R4/
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279238400000",
"number": "1609873991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 PARK WAY",
"address_2": "SUITE 300",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190084202",
"telephone_number": "484-422-8080",
"fax_number": "484-422-8073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 N BROOKSIDE RD",
"city": "SPRINGFIELD",
"state": "PA",
"postal_code": "190642527",
"telephone_number": "610-543-5300",
"fax_number": "610-543-3124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUSMAN",
"first_name": "ROBERT",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2010-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD027134E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0013981050003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.