Individual provider Active NPI

Robert McCafferty, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • West Chester, PA
National Provider Identifier
1811710320
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA066197 Issued in PA
Practice address
915 Old Fern Hill Rd Ste 1
West Chester, PA 19380-4269
Phone
(610) 692-6280
NPI assigned
Nov 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA066197 PA Primary

Addresses

Primary practice location

915 Old Fern Hill Rd Ste 1
West Chester, PA 19380-4269

Mailing address

60 N Pennell Rd
Media, PA 19063-5520
Phone (610) 716-9412

Other practice location 1

60 N Pennell Rd
Media, PA 19063-5520
Phone (610) 716-9412

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121000999 PA Practitioner - Physician Assistant 7517492051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Philadelphia College of Osteopathic Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians

Practice addresses (Care Compare)

2004 Sproul Rd
FL 1
Broomall, PA 19008-3511
Phone (610) 353-0800

201 2ND Ave
Collegeville, PA 19426-3613
Phone (610) 489-7703

4 Industrial Blvd
Paoli, PA 19301-1605

400 McFarlan Rd
Suite 100
Kennett Square, PA 19348-2477
Phone (610) 925-4901

834 Chestnut St
Suite G114
Philadelphia, PA 19107-5114
Phone (215) 521-3001

915 Old Fern Hill Rd
Suite 1
West Chester, PA 19380-4269
Phone (610) 692-6280

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA066197PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Sports Medicine Associates LTD CurrentSince Nov 12, 2024 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates, LTD CurrentSince Nov 12, 2024 Accepting new patients
Orthopedic Sports & Arthritis Surgery Past Accepting new patients

Locations

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

400 McFarlan Rd
Ste 100
Kennett Square, PA 19348
Phone (610) 444-1344

4 Industrial Blvd
Ste 165
Paoli, PA 19301
Phone (610) 359-5640

915 Old Fern Hill Rd
Ste 1
West Chester, PA 19380
Phone (610) 314-4314

455 Woodview Rd
Ste 205
West Grove, PA 19390
Phone (484) 748-6148

Interoperability endpoints

  • Direct secure messaging: robert.mccafferty.1@22724.direct.athenahealth.com

Organizations & group practices 3

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 5

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": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1811710320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 N PENNELL RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635520",
            "telephone_number": "610-716-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 OLD FERN HILL RD STE 1",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804269",
            "telephone_number": "610-692-6280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 N Pennell Rd",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190635520",
            "country_code": "US",
            "telephone_number": "610-716-9412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCAFFERTY",
        "first_name": "ROBERT",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA066197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.