Individual provider Active NPI

Beatrice Aderonke Rotibi, M.D.

  • Internal Medicine Physician
  • Drexel Hill, PA
National Provider Identifier
1972858629
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD455217 Issued in PA
Practice address
501 N Lansdowne Ave
Drexel Hill, PA 19026-1114
Phone
(610) 521-4833
Fax
(610) 521-2651
NPI assigned
Jul 18, 2012
Last updated
Sep 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT200782 PA
Internal Medicine Physician 207R00000X MD455217 PA Primary

Addresses

Primary practice location

501 N Lansdowne Ave
Drexel Hill, PA 19026-1114

Mailing address

501 N Lansdowne Ave
Drexel Hill, PA 19026-1114
Phone (610) 394-4738

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
I20150930000573 PA Practitioner - Internal Medicine 3274780192 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, 442 clinicians

Practice addresses (Care Compare)

1200 Old York Rd
Suite 2B
Abington, PA 19001-3720
Phone (215) 481-2222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD455217PAMDInternal Medicine Physician
MT200782PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Sep 25, 2017 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Sep 25, 2017 Accepting new patients
Abington Memorial Hospital Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Pennsylvania HM Associates PC CurrentSince Mar 1, 2022 Accepting new patients
Montgomery County Pulmonary and Sleep Consultants PC CurrentSince Apr 1, 2022 Accepting new patients

Locations

1200 Old York Rd
Ste 2B
Abington, PA 19001
Phone (215) 481-2222

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

501 N Lansdowne Ave
Drexel Hill, PA 19026
Phone (610) 284-8100

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 Medical Campus Dr
Lansdale, PA 19446
Phone (215) 361-4440

1240 S Broad St
Ste 220230
Lansdale, PA 19446
Phone (215) 774-8656

99 N West End Blvd
Ste 108
Quakertown, PA 18951
Phone (215) 453-3400

175 E Chester Pike
Ridley Park, PA 19078
Phone (610) 595-6000

700 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-4000

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

Organizations & group practices 10

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 1

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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1972858629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N LANSDOWNE AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261114",
            "telephone_number": "610-394-4738",
            "fax_number": "610-394-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N LANSDOWNE AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261114",
            "telephone_number": "610-521-4833",
            "fax_number": "610-521-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTIBI",
        "first_name": "BEATRICE",
        "middle_name": "ADERONKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT200782",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD455217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

Verify at the official NPI Registry.