Active NPI
Andrew M. Ecker, MD
- Internal Medicine Physician
- King of Prussia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD029085E
- Practice address
- 210 Mall Blvd Ste 102
King of Prussia, PA 19406-3260 - Phone
- (610) 265-0726
- Fax
- (610) 265-3132
- NPI assigned
- Jun 28, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD029085E | PA | |
| Internal Medicine Physician | 207R00000X | MD029085E | PA | Primary |
Addresses
Primary practice location
210 Mall Blvd Ste 102
King of Prussia, PA 19406-3260
Mailing address
PO Box 789967
Philadelphia, PA 19178-9967
Phone (484) 622-7395
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0126626902 | Other | PA | AMERICHOICE (UHC MA PLAN) |
| 10926144 | Other | PA | CAQH ID# |
| 0019834 | Other | PA | AETNA HMO |
| 110236405 | Other | PA | RRM |
| 26575-MD029085E | Other | PA | HEALTH PARTNERS |
| 1163449 | Other | PA | CIGNA HMO/PPO |
| 350698 | Other | PA | PHCS |
| 475021 | Other | PA | HIGHMARK BLUE SHIELD |
| 0047323000 | Other | PA | IBC - PC/KHPE |
| 1164942 | Other | PA | KEYSTONE MERCY |
| 0047323000 | Other | PA | AMERIHEALTH/INTERCOUNTY |
| 2122242 | Other | PA | ALLIANCE/OPT CHC (MAMSI) |
| 0012662690004 | Medicaid | PA | |
| 4110656 | Other | PA | AETNA PPO |
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 |
|---|---|---|---|
| MD029085E | PA | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fornance Physician Services, Inc. | Internal Medicine | Current | Accepting new patients |
| Fornance Physician Services, Inc. | Current | Accepting new patients | |
| Fornance Physician Services, Inc | Current | Accepting new patients | |
| Fornance Physician Services, Inc | Current | Accepting new patients |
Locations
721 Skippack Pike
Ste 3
Blue Bell, PA 19422
Phone (215) 793-0600
100 Market St
Ste 300
Collegeville, PA 19426
Phone (484) 622-6400
210 Mall Blvd
Ste 101
King of Prussia, PA 19406
Phone (610) 233-3693
860 First Ave
Ste 870
Kng of Prussa, PA 19406
Phone (610) 265-2240
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
342 W Germantown Pike
Ste 200
Norristown, PA 19403
Phone (610) 279-1500
1437 DeKalb St
Ste 201
Norristown, PA 19401
Phone (610) 272-5341
4070 Butler Pike
Ste 200
Plymouth Mtng, PA 19462
Phone (610) 825-5741
Interoperability endpoints
- andrew.ecker@direct.einstein.edu
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.
-
- Obstetrics & Gynecology Physician
- Norristown, PA
- NPI 1053363523
-
- Family Medicine Physician
- North Wales, PA
- NPI 1972875474
-
- Neurological Surgery Physician
- Plymouth Meeting, PA
- NPI 1699459388
-
- Family Medicine Physician
- East Norriton, PA
- NPI 1760423230
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542240000000",
"number": "1669400818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 789967",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191789967",
"telephone_number": "484-622-7395",
"fax_number": "484-622-7399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 MALL BLVD STE 102",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194063260",
"telephone_number": "610-265-0726",
"fax_number": "610-265-3132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKER",
"first_name": "ANDREW",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2018-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "PA",
"license": "MD029085E",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD029085E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE (UHC MA PLAN)",
"identifier": "0126626902",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH ID#",
"identifier": "10926144",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "0019834",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRM",
"identifier": "110236405",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "26575-MD029085E",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO/PPO",
"identifier": "1163449",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "350698",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "475021",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC - PC/KHPE",
"identifier": "0047323000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "1164942",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH/INTERCOUNTY",
"identifier": "0047323000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE/OPT CHC (MAMSI)",
"identifier": "2122242",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012662690004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4110656",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.