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NPI · 1104205400 · NPPES-sourced

Residentialist Housecall Med Grp, PC A Pennsylvania Corp

ActiveFamily Medicine, Geriatric Medicine
NPI Number
1104205400
Type 2 · Organisation
Contact
(949) 366-1053
License PA · OS017618
Last Updated
Enumerated
Primary practice addressPA · 19131-1626
4190 City Ave, Pcom - Rowland Hall, Room 528Philadelphia, PA 19131-1626
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About this NPIWhat this record shows.

NPI 1104205400 is registered to Residentialist Housecall Med Grp, PC A Pennsylvania Corp, a healthcare organisation classified as "Family Medicine, Geriatric Medicine" and located at 4190 City Ave, Pcom - Rowland Hall, Room 528 in Philadelphia, Pennsylvania. The organisation's authorised official is Marie Walton. The organisation has been enumerated in the NPI registry since 2015.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Residentialist Housecall Med Grp, PC A Pennsylvania Corp accepts. To confirm in-network status with your specific health plan, contact Residentialist Housecall Med Grp, PC A Pennsylvania Corp directly at (949) 366-1053.

Frequently asked

Yes. NPI 1104205400 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Medicine, Geriatric Medicine is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (949) 366-1053.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Residentialist Housecall Med Grp, PC A Pennsylvania Corp is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207QG0300X
Last updated
Enumerated
StatusActive
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