NPIMap

Individual provider Active NPI

Susan M Purcell, MD

  • Internal Medicine Physician
  • Fountainville, PA
National Provider Identifier
1912092230
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD063951-L Issued in PA
Practice address
5039 Swamp Road
Suite 401
Fountainville, PA 18923-9667
Phone
(215) 230-8380
Fax
(215) 230-8370
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MD063951-L PA Primary

Addresses

Primary practice location

5039 Swamp Road
Suite 401
Fountainville, PA 18923-9667

Mailing address

5039 Swamp Road
Suite 401 PO Box 417
Fountainville, PA 18923-9667
Phone (215) 230-8380

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
I20100824000364 PA Practitioner - Internal Medicine 7113907460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians
Peace Valley Internal Medicine PCGroup PAC ID 8224018569, 5 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

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

5039 Swamp Rd
Suite 401
Fountainville, PA 18923-9663
Phone (215) 230-8380

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD063951-LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peace Valley Internal Medicine PC Internal Medicine CurrentSince Sep 23, 1997 Accepting new patients

Locations

5039 Swamp Rd
Ste 401
Fountainville, PA 18923
Phone (215) 230-8380

5039 Swamp Rd
Ste 402
Fountainville, PA 18923
Phone (215) 230-8380

Interoperability endpoints

  • Direct secure messaging: susan.purcell@dhcp.eclinicaldirectplus.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, 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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912092230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5039 SWAMP ROAD",
            "address_2": "SUITE 401 PO BOX 417",
            "city": "FOUNTAINVILLE",
            "state": "PA",
            "postal_code": "189239667",
            "telephone_number": "215-230-8380",
            "fax_number": "215-230-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5039 SWAMP ROAD",
            "address_2": "SUITE 401",
            "city": "FOUNTAINVILLE",
            "state": "PA",
            "postal_code": "189239667",
            "telephone_number": "215-230-8380",
            "fax_number": "215-230-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD063951-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountainville, PA

Sources for this page

Verify at the official NPI Registry.