Active NPI
Spiridon Nicholas Vonortas, MD, MPH
- Pediatrics Physician
- Bryn Mawr, PA
National Provider Identifier
1720738248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD490482
- Practice address
- 663 W Lancaster Ave
Bryn Mawr, PA 19010-3805 - Phone
- (610) 658-0999
- NPI assigned
- Mar 27, 2022
- Last updated
- Jul 8, 2025
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | MD490482 | PA | Primary |
Addresses
Primary practice location
663 W Lancaster Ave
Bryn Mawr, PA 19010-3805
Mailing address
6768 Brigadoon Dr
Bethesda, MD 20817-5436
Phone (240) 408-1929
Other practice location 1
1215 Lee St Box '800501'
Charlottesville, VA 22908-0816
Phone (434) 924-5321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220713000995 | VA | Order and Referring Only - Pediatric Medicine | 3971984618 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD490482 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital of Philadelphia | Pediatrics | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CHOP Primary Care Doylestown
- Pediatrics Physician
- Doylestown, PA
- NPI 1427148808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1720738248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6768 BRIGADOON DR",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208175436",
"telephone_number": "240-408-1929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "663 W LANCASTER AVE",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103805",
"telephone_number": "610-658-0999"
}
],
"practiceLocations": [
{
"address_1": "1215 Lee St Box '800501'",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229080816",
"country_code": "US",
"telephone_number": "434-924-5321",
"fax_number": "434-982-3816",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VONORTAS",
"first_name": "SPIRIDON",
"middle_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-27",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD490482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.