NPIMap

Individual provider Active NPI

Stephen M Humbert, DO

  • Internal Medicine Physician
  • Havertown, PA
National Provider Identifier
1871595041
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS007256L Issued in PA
Practice address
2510 W Township Line Rd
Havertown, PA 19083-5212
Phone
(484) 450-4500
Fax
(484) 450-0575
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS007256L PA Primary

Addresses

Primary practice location

2510 W Township Line Rd
Havertown, PA 19083-5212

Mailing address

2510 W Township Line Rd
Havertown, PA 19083-5212
Phone (484) 450-4500

Other identifiers 1

IdentifierTypeStateIssuer
0014679730001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100616000380 PA Practitioner - Internal Medicine 2365572427 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penn Medicine-PmaGroup PAC ID 6507269370, 55 clinicians
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians

Practice addresses (Care Compare)

150 Monument Rd
Suite 400
Bala Cynwyd, PA 19004-1725
Phone (610) 747-3470

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

2510 W Township Line Rd
Havertown, PA 19083-5212
Phone (484) 450-4500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health Syst Internal Medicine CurrentSince Jun 16, 2022 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Internal Medicine Current Accepting new patients
Penn Medicine-Pma CurrentSince Jan 25, 2022 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jun 16, 2022 Accepting new patients
Clinical Specialty Associates CurrentSince Jun 28, 2025 Accepting new patients
Clinical Specialty Associates Internal Medicine CurrentSince Jun 28, 2025 Accepting new patients
Penn Medicine-Pma Internal Medicine CurrentSince Jan 25, 2022 Accepting new patients
Clinical Specialty Associates Current Accepting new patients
Little Flower Manor Inc Past Accepting new patients

Locations

150 Monument Rd
Ste 400
Bala Cynwyd, PA 19004
Phone (610) 747-3470

2510 W Township Line Rd
Havertown, PA 19083
Phone (484) 450-4500

301 W Chester Pike
Ste 201
Havertown, PA 19083
Phone (610) 853-2900

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Interoperability endpoints

  • FHIR API: https://ssproxy.pennhealth.com/PRD-FHIR/api/FHIR/R4/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1871595041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 W TOWNSHIP LINE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190835212",
            "telephone_number": "484-450-4500",
            "fax_number": "484-450-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 W TOWNSHIP LINE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190835212",
            "telephone_number": "484-450-4500",
            "fax_number": "484-450-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMBERT",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS007256L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014679730001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.