NPIMap

Organization Active NPI

Montgomery County Medical Associates, LTD.

  • Internal Medicine Physician
  • Meadowbrook, PA
National Provider Identifier
1871530618
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MONTGOMERY COUNTY MEDICAL ASSOCIATES, LTD.
Practice address
1650 Huntingdon Pike
Suite 156
Meadowbrook, PA 19046-8004
Phone
(215) 947-7924
Fax
(215) 947-0187
NPI assigned
Jun 1, 2006
Last updated
Sep 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Authorized official

Name
Dr. Guy E McElwain Jr., M.D.NPI 1629049804
Title
Vice President
Phone
(215) 947-7924

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X NU
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1650 Huntingdon Pike
Suite 156
Meadowbrook, PA 19046-8004

Mailing address

1650 Huntingdon Pike
Suite 156
Meadowbrook, PA 19046-8004
Phone (215) 947-7924

Other identifiers 2

IdentifierTypeStateIssuer
1047576 01MedicaidPA
CF3420OtherPARAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040617000710 PA Part B Supplier - Clinic/Group Practice 0648254458 Receives reassigned benefits from 12 practitioners
Practice locations: Meadowbrook, PA; Philadelphia, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0951184Montgomery County Medical Assoc1650 Huntingdon Pike Suite 156, Meadowbrook, PA 19046Certificate of waiverSep 14, 2026

National Provider Directory

National Provider Directory

Locations

1650 Huntingdon Pike
Ste 156
Meadowbrook, PA 19046
Phone (215) 745-3580

1650 Huntingdon Pike
Ste 159
Meadowbrook, PA 19046
Phone (215) 947-7901

5735 Rising Sun Ave
Philadelphia, PA 19120
Phone (215) 745-3580

8014 Burholme Ave
Philadelphia, PA 19111
Phone (215) 745-4500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIDBBA

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1871530618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HUNTINGDON PIKE",
            "address_2": "SUITE 156",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468004",
            "telephone_number": "215-947-7924",
            "fax_number": "215-947-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HUNTINGDON PIKE",
            "address_2": "SUITE 156",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468004",
            "telephone_number": "215-947-7924",
            "fax_number": "215-947-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY COUNTY MEDICAL ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "MCELWAIN",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "215-947-7924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1047576 01",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CF3420",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadowbrook, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.