Individual provider Active NPI

Christopher Jon Mehallo, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Philadelphia, PA
National Provider Identifier
1730103706
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
OS-012486 Issued in PA
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

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2123312000OtherPAIBC
3215014OtherPAAETNA
P2954746OtherPAOXFORD
4412252OtherCIGNA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060221000565 PA Practitioner - Sports MedicinePractitioner - Family Practice 5799791208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reconstructive Orthopaedic Associates II LLCGroup PAC ID 7416845318, 274 clinicians

Practice addresses (Care Compare)

1118 W Baltimore Pike
Suite 302
Media, PA 19063-6107
Phone (610) 744-2600

Hospital & facility affiliations

  • Riddle Memorial Hospital Hospital, Media, PA, CCN 390222
  • Good Shepherd Penn Partners Long-term care hospital, Philadelphia, PA, CCN 392050

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
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

LicenseStateTypeSpecialty
OS-012486PAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reconstructive Orthopaedic Associates II LLC Sports Medicine CurrentSince Jan 1, 2003 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Jan 1, 2003 Accepting new patients
McShane Sports Medicine Sports Medicine Past Accepting new patients
Main Line Healthcare PastSince Dec 1, 2010 Accepting new patients
Rothman Institute of New Jersey, P.a. PastSince Jan 1, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.