Individual provider Active NPI

Thomas S Metkus, M.D.

  • Cardiovascular Disease Physician
  • Philadelphia, PA
National Provider Identifier
1619947116
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD022568E Issued in PA
Practice address
2630 Holme Ave Ste 200
Philadelphia, PA 19152-3004
Phone
(215) 332-3972
Fax
(215) 331-3784
NPI assigned
Jan 25, 2006
Last updated
May 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD022568E PA Primary

Addresses

Primary practice location

2630 Holme Ave Ste 200
Philadelphia, PA 19152-3004

Mailing address

41 University Dr Ste 106
Newtown, PA 18940-1873

Other identifiers 1

IdentifierTypeStateIssuer
9083490003MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thomas.metkus.1@16196.direct.athenahealth.com Direct Nazareth Physician Services, Inc.

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
I20090618000317 PA Practitioner - Cardiovascular Disease (Cardiology) 3779548441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Jefferson Medical College of Thomas Jefferson University, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201

240 Middletown Blvd
Langhorne, PA 19047-1832

2601 Holme Ave
Philadelphia, PA 19152-2007
Phone (267) 957-7027

2630 Holme Ave
Suite 200
Philadelphia, PA 19152-3004
Phone (215) 335-6270

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD022568EPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Nov 11, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Nov 11, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients
Nazareth Physician Services, Inc Past Accepting new patients
Apogee Medical Group of Pennsylvania PC PastSince Oct 8, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Cardiovascular Disease Past Accepting new patients

Locations

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

2630 Holme Ave
Ste 200
Philadelphia, PA 19152
Phone (215) 332-3972

2701 Holme Ave
Ste 100
Philadelphia, PA 19152
Phone (215) 335-3972

Interoperability endpoints

  • Direct secure messaging: tmetkus2019410@direct.trinity-health.org

Organizations & group practices 7

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 1

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1619947116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 UNIVERSITY DR STE 106",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 HOLME AVE STE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523004",
            "telephone_number": "215-332-3972",
            "fax_number": "215-331-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METKUS",
        "first_name": "THOMAS",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD022568E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9083490003",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thomas.metkus.1@16196.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "Nazareth Physician Services Direct Email Address",
            "affiliationName": "Nazareth Physician Services, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2601 Holme Ave",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191522007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.