Active NPI
Michael A Valentino, M.D., PH.D.
- Cardiovascular Disease Physician
- Broomall, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD452361
- Practice address
- 1999 Sproul Rd Ste 25
Broomall, PA 19008-3508 - Phone
- (610) 353-6400
- NPI assigned
- Apr 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD452361 | PA | Primary |
Addresses
Primary practice location
1999 Sproul Rd Ste 25
Broomall, PA 19008-3508
Mailing address
1999 Sproul Rd Ste 25
Broomall, PA 19008-3508
Phone (610) 353-6400
Other practice location 1
833 Chestnut St
Suite 701
Philadelphia, PA 19107-4414
Phone (215) 955-6180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033002190002 | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Jefferson Medical College of Thomas Jefferson University, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1999 Sproul Rd
Broomall, PA 19008-3508
Phone (610) 353-6400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD452361 | PA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Single Specialty | Current | Accepting new patients |
Locations
1991 Sproul Rd
Ste 220
Broomall, PA 19008
Phone (610) 353-6400
1999 Sproul Rd
Ste 25
Broomall, PA 19008
Phone (610) 353-6400
130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
Interoperability endpoints
- mvalentino@mma.gwaydirect.com
Organizations & group practices 1
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 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lankenau Hospital
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
-
dba Bryn Mawr Hospital
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
-
- General Acute Care Hospital
- Media, PA
- NPI 1407856099
-
dba Hospital of the University of Pennsylvania
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1891051256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1999 SPROUL RD STE 25",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190083508",
"telephone_number": "610-353-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1999 SPROUL RD STE 25",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190083508",
"telephone_number": "610-353-6400"
}
],
"practiceLocations": [
{
"address_1": "833 Chestnut St",
"address_2": "Suite 701",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191074414",
"country_code": "US",
"telephone_number": "215-955-6180",
"fax_number": "215-955-6410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALENTINO",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-10",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD452361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1033002190002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Broomall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.