Individual provider Active NPI

Michael William Noonan, D.O.

  • Medical Oncology Physician
  • Philadelphia, PA
National Provider Identifier
1902071202
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
OS024214 Issued in PA
Practice address
333 Cottman Ave
Philadelphia, PA 19111-2434
Phone
(215) 728-2273
NPI assigned
Apr 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X OS024214 PA Primary

Addresses

Primary practice location

333 Cottman Ave
Philadelphia, PA 19111-2434

Mailing address

3509 N Broad St
Philadelphia, PA 19140-4105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, DE, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140820002567 CO Practitioner - Family Practice 8022141886 Reassigns benefits to 1 organization
I20230829004548 DE Practitioner - Family PracticePractitioner - Addiction Medicine 8022141886 Reassigns benefits to 1 organization
I20250221001019 PA Practitioner - Medical Oncology 8022141886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Rowan University School of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

333 Cottman Ave
Philadelphia, PA 19111-2434
Phone (215) 707-2111

Hospital & facility affiliations

  • Temple University Hospital Hospital, Philadelphia, PA, CCN 390027
  • Hospital of the Fox Chase Cancer Center Hospital, Philadelphia, PA, CCN 390196

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan, Inc Medical Oncology CurrentSince Oct 27, 2024 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Temple Physician Inc. CurrentSince Oct 27, 2024 Accepting new patients
Temple Physicians Inc. CurrentSince Oct 27, 2024 Accepting new patients
Trinidad Area Health Association CurrentSince Sep 18, 2015 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Trinidad Area Health Association CurrentSince Sep 18, 2015 Accepting new patients
Christiana Care Health Services Inc CurrentSince Aug 15, 2023 Accepting new patients
Temple Faculty Practice Plan Inc Medical Oncology CurrentSince Oct 27, 2024 Accepting new patients
Christiana Care Health Services, Inc CurrentSince Aug 15, 2023 Accepting new patients
Temple Physicians Inc Family Medicine Current Accepting new patients
Trinidad Area Health Association Family Medicine Current Accepting new patients
Temple Faculty Practice Plan Inc Past Accepting new patients

Locations

410 Benedicta Ave
Trinidad, CO 81082
Phone (719) 846-8051

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

4755 Ogletown Stanton Rd
Ste 6E34
Newark, DE 19718
Phone (302) 733-4186

4755 Ogletown Stanton Rd
#6E88
Newark, DE 19718
Phone (302) 733-4186

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893

3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

2301 E Allegheny Ave
Fl 1
Philadelphia, PA 19134
Phone (215) 291-3880

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 9

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": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1902071202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112434",
            "telephone_number": "215-728-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONAN",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-28",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "PA",
            "license": "OS024214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.