Individual provider Active NPI

Guy E McElwain, MD

  • Allergy & Immunology (Internal Medicine) Physician
  • Meadowbrook, PA
National Provider Identifier
1629049804
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
MD020236E Issued in PA
Practice address
1650 Huntingdon Pike
Suite 156
Meadowbrook, PA 19046-8004
Phone
(215) 947-7924
Fax
(215) 947-0187
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X MD020236E PA Primary

Addresses

Primary practice location

1650 Huntingdon Pike
Suite 156
Meadowbrook, PA 19046-8004

Mailing address

1650 Huntingdon Pike
Suite 156
Meadowbrook, PA 19046-8004
Phone (215) 947-7924

Other identifiers 2

IdentifierTypeStateIssuer
110041502OtherPARAILORAD MEDICARE
0723667MedicaidPA

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
I20110111000428 PA Practitioner - Internal Medicine 4880666015 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD020236EPAMDAllergy & Immunology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Medical Associates, LTD. CurrentSince Jun 1, 1997 Accepting new patients

Locations

1650 Huntingdon Pike
Ste 156
Meadowbrook, PA 19046
Phone (215) 745-3580

8014 Burholme Ave
Philadelphia, PA 19111
Phone (215) 745-4500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIDBBA

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Holy Redeemer HospitalMeadowbrook, PA, CCN 390097 Hospital Corporate Director Jan 1, 2011
Senior Behavorial HealthMeadowbrook, PA, CCN 39S097 Hospital Corporate Director Oct 1, 1997
St. Josephs ManorMeadowbrook, PA, CCN 395006 Skilled nursing facility Corporate Director Feb 7, 2008
The Lafayette-RedeemerPhiladelphia, PA, CCN 395704 Skilled nursing facility Corporate Director Jan 28, 2008
HRH Transitional Care UnitMeadowbrook, PA, CCN 395861 Skilled nursing facility Corporate Director Jan 1, 2011
Holy Redeemer Home Care-PAPhiladelphia, PA, CCN 397104A Home health agency Corporate Director Jan 1, 2012
Holy Redeemer Hospice-PAPhiladelphia, PA, CCN 391514A Hospice Corporate Director Jan 1, 2011

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1629049804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HUNTINGDON PIKE",
            "address_2": "SUITE 156",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468004",
            "telephone_number": "215-947-7924",
            "fax_number": "215-947-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HUNTINGDON PIKE",
            "address_2": "SUITE 156",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468004",
            "telephone_number": "215-947-7924",
            "fax_number": "215-947-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELWAIN",
        "first_name": "GUY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "PA",
            "license": "MD020236E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILORAD MEDICARE",
            "identifier": "110041502",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0723667",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadowbrook, PA

Sources for this page

Verify at the official NPI Registry.