Individual provider Active NPI

Michael Tom, MD

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1699216663
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD466978 Issued in PA
Practice address
3400 Spruce St
Philadelphia, PA 19104-4238
Phone
(215) 662-6698
Fax
(215) 662-3953
NPI assigned
Mar 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD466978 PA Primary

Addresses

Primary practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Mailing address

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-6698

Other practice location 1

2451 Grant Ave
Philadelphia, PA 19114-1031
Phone (215) 934-3471

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.tom@pennmedicine.upenn.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190916000144 PA Practitioner - Emergency Medicine 9133458276 Reassigns benefits to 4 organizations
I20230910000137 WA Practitioner - Emergency Medicine 9133458276 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Acute Care Physicians PCGroup PAC ID 7810215613, 31 clinicians
Northwest Emergency Physicians LLCGroup PAC ID 3476462334, 267 clinicians
Eastside Emergency Physicians PLLCGroup PAC ID 5193725372, 56 clinicians

Practice addresses (Care Compare)

1820 Bethlehem Pike
Flourtown, PA 19031-1504
Phone (215) 836-1354

2021 Chestnut St
Philadelphia, PA 19103-3373
Phone (267) 443-2020

2451 Grant Ave
Philadelphia, PA 19114-1031
Phone (215) 934-3471

2607 Rhawn St
Philadelphia, PA 19152-3038
Phone (215) 333-0304

34515 9TH Ave S
Federal Way, WA 98003-6761
Phone (253) 838-9700

751 NE Blakely Dr
Issaquah, WA 98029-6201
Phone (425) 394-0610

Hospital & facility affiliations

  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • Swedish Issaquah Hospital, Issaquah, WA, CCN 500152
  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231
  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174
  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD466978PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince May 1, 2025 Accepting new patients
University of Penn-Medical Group CurrentSince Aug 1, 2020 Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince Jan 18, 2026 Accepting new patients
Northwest Observation Associates PC CurrentSince Sep 1, 2023 Accepting new patients
Eastside Emergency Physicians PLLC Emergency Medicine CurrentSince May 1, 2025 Accepting new patients
Emergency Physician Associates of Pennsylvania, PC Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Eastside Emergency Physicians, PLLC Emergency Medicine CurrentSince May 1, 2025 Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince Jan 18, 2026 Accepting new patients
Swedish Health Services CurrentSince May 1, 2025 Accepting new patients
University of Penn-Medical Group CurrentSince Aug 1, 2020 Accepting new patients
Franciscan Medical Group CurrentSince Mar 4, 2025 Accepting new patients
University of Penn-Medical Group Current Accepting new patients

Locations

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3620 Hamilton Walk
Fl 1
Philadelphia, PA 19104
Phone (215) 898-9095

2451 Grant Ave
Philadelphia, PA 19114
Phone (215) 464-8050

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020

18100 NE Union Hill Rd
Fl 2
Redmond, WA 98052
Phone (425) 881-5437

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 7

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": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1699216663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-6698",
            "fax_number": "215-662-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-6698",
            "fax_number": "215-662-3953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2451 Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191141031",
            "country_code": "US",
            "telephone_number": "215-934-3471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOM",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD466978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.tom@pennmedicine.upenn.edu",
            "affiliation": "Y",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3620 Hamilton Walk 1, John Morgan Building",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "19104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.