Individual provider Active NPI

Christian Albornoz, MD

  • Dermatology Physician
  • Chesterbrook, PA
National Provider Identifier
1962997262
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD478873 Issued in PA
Practice address
945 Chesterbrook Blvd
Chesterbrook, PA 19087-5614
Phone
(610) 596-8249
Fax
(610) 525-7801
NPI assigned
Jun 28, 2018
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD478873 PA Primary

Addresses

Primary practice location

945 Chesterbrook Blvd
Chesterbrook, PA 19087-5614

Mailing address

945 Chesterbrook Blvd
Chesterbrook, PA 19087-5614
Phone (610) 596-8249

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
I20220815000172 PA Practitioner - Dermatology 0446633002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Temple University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryn Mawr Dermatology PCGroup PAC ID 2668493735, 13 clinicians

Practice addresses (Care Compare)

775 E Lancaster Ave
Suite 200
Villanova, PA 19085-1529
Phone (610) 525-7800

Merit-based Incentive Payment System (MIPS)

Final score
83.83 of 100Reported as group
Quality
66.36
Improvement activities
40
Cost
90.95

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
83.84
Promoting interoperability
85
Improvement activities
40
Cost
59.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision34
Removal of skin lesions390
Removal or shaving of skin growth47
Skin biopsy338

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD478873PAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Pennsylvania, PC Dermatology CurrentSince Sep 1, 2022 Accepting new patients
Bryn Mawr Dermatology, P.C. Dermatology CurrentSince Mar 1, 2024 Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

945 Chesterbrook Blvd
Chesterbrook, PA 19087
Phone (610) 695-8088

534 Second Ave
Ste 101
Collegeville, PA 19426
Phone (610) 525-7800

1107 Bethlehem Pike
Ste 103
Flourtown, PA 19031
Phone (215) 254-7070

1107 Bethlehem Pike
Ste 210
Flourtown, PA 19031
Phone (267) 440-2050

525 Jamestown St
Ste 206
Philadelphia, PA 19128
Phone (215) 482-7546

775 E Lancaster Ave
Ste 200
Villanova, PA 19085
Phone (610) 525-7800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1962997262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 CHESTERBROOK BLVD",
            "city": "CHESTERBROOK",
            "state": "PA",
            "postal_code": "190875614",
            "telephone_number": "610-596-8249",
            "fax_number": "610-525-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 CHESTERBROOK BLVD",
            "city": "CHESTERBROOK",
            "state": "PA",
            "postal_code": "190875614",
            "telephone_number": "610-596-8249",
            "fax_number": "610-525-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBORNOZ",
        "first_name": "CHRISTIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD478873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterbrook, PA

Sources for this page

Verify at the official NPI Registry.