NPIMap

Organization Active NPI

Tower Drexel Academic Medical Group LLC

Doing business as Internal Medicine Tower Health Medical Group Broad Street

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1780227488
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TOWER DREXEL ACADEMIC MEDICAL GROUP LLC
Doing business as
Internal Medicine Tower Health Medical Group Broad Street
Practice address
219 N Broad St FL 6
Philadelphia, PA 19107-1519
Phone
(610) 743-7026
NPI assigned
Oct 25, 2019
Last updated
Jun 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Charles Michael Valentino Jr.
Title
VP of Revenue Integrity
Phone
(484) 628-9380

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary
Gastroenterology Physician 207RG0100X

Addresses

Primary practice location

219 N Broad St FL 6
Philadelphia, PA 19107-1519

Mailing address

PO Box 13579
Reading, PA 19612-3579
Phone (610) 743-6049

Other identifiers 1

IdentifierTypeStateIssuer
3400P26OtherMC ID

Other names 1

  • Internal Medicine Tower Health Medical Group Broad Street Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061117000409 PA Part B Supplier - Clinic/Group Practice 9335147784 Receives reassigned benefits from 49 practitioners
13 other NPIs on this enrollment
Practice locations: Wyncote, PA; Phildelphia, PA; Philadelphia, PA; Flourtown, PA

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory

Locations

219 N Broad St
Fl 6
Philadelphia, PA 19107
Phone (215) 762-5037

Practitioners & affiliated clinicians

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 53

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1780227488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579",
            "telephone_number": "610-743-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N BROAD ST FL 6",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071519",
            "telephone_number": "610-743-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWER DREXEL ACADEMIC MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "VALENTINO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "VP OF REVENUE INTEGRITY",
        "authorized_official_telephone_number": "484-628-9380",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC ID",
            "identifier": "3400P26",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine Tower Health Medical Group Broad Street",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.