Organization Active NPI

Infectious Diseases Medical Associates, LLC

  • Infectious Disease Physician
  • Darby, PA
National Provider Identifier
1992967624
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD025745E Issued in PA
Legal business name
INFECTIOUS DISEASES MEDICAL ASSOCIATES, LLC
Practice address
1503 Lansdowne Ave.
Suite 3010
Darby, PA 19023-1308
Phone
(610) 237-5816
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Dr. Mark Gilbert, M.D.NPI 1366443855
Title
Manager
Phone
(610) 626-3089

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X MD025745E PA Primary

Addresses

Primary practice location

1503 Lansdowne Ave.
Suite 3010
Darby, PA 19023-1308

Mailing address

1503 Lansdowne Ave Ste 3010
Darby, PA 19023-1308
Phone (610) 626-3089

Other identifiers 1

IdentifierTypeStateIssuer
0009816070002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081010000253 PA Part B Supplier - Clinic/Group Practice 3173691649 Receives reassigned benefits from 6 practitioners
Practice locations: Ridley Park, PA; Philadelphia, PA; Darby, PA; Media, PA; Havertown, PA; Drexel Hill, PA

National Provider Directory

National Provider Directory

Locations

5301 Cedar Ave
Philadelphia, PA 19143
Phone (215) 748-9000

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1992967624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 LANSDOWNE AVE STE 3010",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231308",
            "telephone_number": "610-626-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 LANSDOWNE AVE.",
            "address_2": "SUITE 3010",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231308",
            "telephone_number": "610-237-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASES MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "610-626-3089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD025745E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009816070002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.