Active NPI
Christopher Jon Mehallo, D.O.
- Sports Medicine (Family Medicine) Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- OS-012486
- Practice address
- 925 Chestnut St
5TH Floor
Philadelphia, PA 19107-4216 - Phone
- (267) 339-3500
- Fax
- (215) 503-0580
- NPI assigned
- Jul 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | OS-012486 | PA | Primary |
Addresses
Primary practice location
925 Chestnut St
5TH Floor
Philadelphia, PA 19107-4216
Mailing address
833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (800) 321-9999
Other practice location 1
600 Evergreen Dr Ste 201
Glen Mills, PA 19342-1053
Phone (267) 339-3558
Other practice location 2
1118 W Baltimore Pike Fl 3
Media, PA 19063-6104
Phone (267) 339-3558
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2123312000 | Other | PA | IBC |
| 3215014 | Other | PA | AETNA |
| P2954746 | Other | PA | OXFORD |
| 4412252 | Other | CIGNA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1118 W Baltimore Pike
Suite 302
Media, PA 19063-6107
Phone (610) 744-2600
Hospital & facility affiliations
- Riddle Memorial Hospital
- Good Shepherd Penn Partners
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.32 of 100
- Quality
- 79.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS-012486 | PA | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reconstructive Orthopaedic Associates II LLC | Sports Medicine | Current | Accepting new patients |
| Reconstructive Orthopaedic Associates II LLC | Current | Accepting new patients | |
| McShane Sports Medicine | Sports Medicine | Past | Accepting new patients |
| Main Line Healthcare | Past | Accepting new patients | |
| Rothman Institute of New Jersey, P.a. | Past | Accepting new patients |
Locations
510 Township Line Rd
Ste 110
Blue Bell, PA 19422
Phone (900) 321-9999
600 Evergreen Dr
Ste 201
Glen Mills, PA 19342
Phone (484) 818-2225
1118 W Baltimore Pike
Ste 302
Media, PA 19063
Phone (610) 480-6040
1118 W Baltimore Pike
Fl 3
Media, PA 19063
Phone (610) 480-6000
833 Chestnut St
Ste 1402
Philadelphia, PA 19107
Phone (267) 339-3543
925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738
833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191
925 Chestnut St
Philadelphia, PA 19107
Phone (215) 955-5050
Interoperability endpoints
- christopher.mehallo@rot.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Philadelphia, PA
- NPI 1861433278
Sports Medicine
-
- Prosthetic/Orthotic Supplier
- Philadelphia, PA
- NPI 1497571830
-
- Family Medicine Physician
- Newtown Square, PA
- NPI 1922077643
-
- Sports Medicine (Family Medicine) Physician
- Villanova, PA
- NPI 1831143361
-
- Prosthetic/Orthotic Supplier
- Manahawkin, NJ
- NPI 1831611243
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Long Term Care Hospital
- Philadelphia, PA
- NPI 1427232818
Long-term care hospital
-
- General Acute Care Hospital
- Media, PA
- NPI 1407856099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1730103706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 CHESTNUT ST STE 520",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074430",
"telephone_number": "800-321-9999",
"fax_number": "267-339-3761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 CHESTNUT ST",
"address_2": "5TH FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074216",
"telephone_number": "267-339-3500",
"fax_number": "215-503-0580"
}
],
"practiceLocations": [
{
"address_1": "600 Evergreen Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Glen Mills",
"state": "PA",
"postal_code": "193421053",
"country_code": "US",
"telephone_number": "267-339-3558",
"fax_number": "267-339-3763",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1118 W Baltimore Pike Fl 3",
"address_purpose": "LOCATION",
"city": "Media",
"state": "PA",
"postal_code": "190636104",
"country_code": "US",
"telephone_number": "267-339-3558",
"fax_number": "267-339-3763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHALLO",
"first_name": "CHRISTOPHER",
"middle_name": "JON",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "PA",
"license": "OS-012486",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "2123312000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3215014",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2954746",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4412252",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.