Individual provider Active NPI

Michael D Arbuckle, D.O.

  • Family Medicine Physician
  • Honey Brook, PA
National Provider Identifier
1871574293
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS010477L Issued in PA
Practice address
471 Pequea Ave
Honey Brook, PA 19344
Phone
(610) 273-2429
Fax
(610) 273-3798
NPI assigned
Nov 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS010477L PA Primary

Addresses

Primary practice location

471 Pequea Ave
Honey Brook, PA 19344

Mailing address

PO Box 460
471 Pequea Ave
Honey Brook, PA 19344-0460
Phone (610) 273-2429

Other identifiers 3

IdentifierTypeStateIssuer
0018579140001MedicaidPA
1310439OtherPABLUE SHIELD #
2003299000OtherPAKEYSTONE HEALTH PLAN EAST

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
I20091228000108 PA Practitioner - Family Practice 9335148154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice of Honey Brook, PCGroup PAC ID 8921912213, 2 clinicians

Practice addresses (Care Compare)

471 Pequea Ave
Honey Brook, PA 19344-1084
Phone (610) 273-2429

Hospital & facility affiliations

  • Penn Medicine Home Health Home health agency, Bala Cynwyd, PA, CCN 397125
  • Bayada Home Health Care, Inc. Home health agency, Exton, PA, CCN 398263
  • Main Line Health Home Care & Hospice - Home Health Home health agency, Radnor, PA, CCN 397012
  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Reading Hospital Hospital, West Reading, PA, CCN 390044
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153
  • Wellspan Ephrata Community Hospital Hospital, Ephrata, PA, CCN 390225
  • Tel Hai Retirement Community Nursing home, Honey Brook, PA, CCN 395562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS010477LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice of Honey Brook, PC Family Medicine CurrentSince Aug 1, 2001 Accepting new patients
Tel Hai Retirement Community Past Accepting new patients

Locations

471 Pequea Ave
#460
Honey Brook, PA 19344
Phone (610) 273-2429

471 Pequea Ave
Honey Brook, PA 19344
Phone (610) 269-0800

Organizations & group practices 2

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1871574293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "address_2": "471 PEQUEA AVE",
            "city": "HONEY BROOK",
            "state": "PA",
            "postal_code": "193440460",
            "telephone_number": "610-273-2429",
            "fax_number": "610-273-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 PEQUEA AVE",
            "city": "HONEY BROOK",
            "state": "PA",
            "postal_code": "19344",
            "telephone_number": "610-273-2429",
            "fax_number": "610-273-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARBUCKLE",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS010477L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018579140001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD #",
            "identifier": "1310439",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "2003299000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honey Brook, PA

Sources for this page

Verify at the official NPI Registry.