NPIMap

Individual provider Active NPI

Ai-En Chu Thlick, MD

  • Internal Medicine Physician
  • Levittown, PA
National Provider Identifier
1649335811
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD431886 Issued in PA
Practice address
4533 New Falls Rd
Levittown, PA 19056-3004
Phone
(267) 540-8220
Fax
(609) 537-7072
NPI assigned
Dec 27, 2006
Last updated
Oct 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD431886 PA Primary

Addresses

Primary practice location

4533 New Falls Rd
Levittown, PA 19056-3004

Mailing address

4533 New Falls Rd
Levittown, PA 19056-3004
Phone (267) 540-8220

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ai-en.thlick.1@12833.direct.athenahealth.com Direct

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
I20070809000470 PA Practitioner - Internal Medicine 4880785559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Virginia School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

4533 New Falls Rd
Levittown, PA 19056-3004
Phone (267) 540-8220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD431886PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Medical Group Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Women's Specialists of Bucks County, P.C. PastSince Jun 21, 2022 Accepting new patients

Locations

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

4533 New Falls Rd
Levittown, PA 19056
Phone (267) 540-8220

1050 Stony Hill Rd
Yardley, PA 19067
Phone (215) 504-1761

407 Floral Vale Blvd
Yardley, PA 19067
Phone (215) 750-7150

Interoperability endpoints

  • Direct secure messaging: ai-en.thlick.1@12833.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/2126/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 8

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1649335811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4533 NEW FALLS RD",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190563004",
            "telephone_number": "267-540-8220",
            "fax_number": "609-537-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4533 NEW FALLS RD",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190563004",
            "telephone_number": "267-540-8220",
            "fax_number": "609-537-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THLICK",
        "first_name": "AI-EN",
        "middle_name": "CHU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD431886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ai-en.thlick.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4533 New Falls Rd",
            "city": "Levittown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190563004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

Verify at the official NPI Registry.