Individual provider Active NPI

Geoffrey Winkley, MD

  • Emergency Medicine Physician
  • Berwyn, PA
National Provider Identifier
1912914649
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD061043LK Issued in PA
Practice address
552A Lancaster Ave
Berwyn, PA 19312-1635
Phone
(610) 644-7100
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD061043LK PA Primary

Addresses

Primary practice location

552A Lancaster Ave
Berwyn, PA 19312-1635

Mailing address

552A Lancaster Ave
Berwyn, PA 19312-1635

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
I20110321000878 PA Practitioner - Emergency MedicinePractitioner - Family Practice 1254527385 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of Texas Medical School at San Antonio, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Demand Urgent Care Group PCGroup PAC ID 5991029712, 95 clinicians

Practice addresses (Care Compare)

1217 S Broad St
Philadelphia, PA 19147-4401
Phone (215) 999-1217

Merit-based Incentive Payment System (MIPS)

Final score
86.37 of 100Reported as group
Quality
70.23
Promoting interoperability
100
Improvement activities
40
Cost
77.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD061043LKPAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince Oct 31, 2017 Accepting new patients
Spuc, LLC CurrentSince Oct 31, 2017 Accepting new patients
On Demand Urgent Care Group PC CurrentSince Feb 1, 2018 Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients

Locations

150 E Pennsylvania Ave
Ste 140
Downingtown, PA 19335
Phone (610) 518-1060

213 Morton Ave
Folsom, PA 19033
Phone (610) 285-9500

934 Montgomery Ave
Penn Valley, PA 19072
Phone (484) 270-8600

1444 W Passyunk Ave
Philadelphia, PA 19145
Phone (215) 389-4444

1217 S Broad St
Philadelphia, PA 19147
Phone (215) 999-1217

3356 Aramingo Ave
Philadelphia, PA 19134
Phone (215) 739-6600

Interoperability endpoints

  • Direct secure messaging: geoffrey.winkley.1@14965.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1912914649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552A LANCASTER AVE",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552A LANCASTER AVE",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121635",
            "telephone_number": "610-644-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKLEY",
        "first_name": "GEOFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD061043LK",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, PA

Sources for this page

Verify at the official NPI Registry.