POTTSTOWN MEDICAL SPECIALISTS, INC
POTTSTOWN MEDICAL SPECIALISTS, INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1053428425, based in Pottstown, PA. The organization lists 15 taxonomy classifications, with Family Medicine Physician recorded as primary.
Getting there
The practice address on file is 1610 MEDICAL DRIVE SUITE 310, Pottstown, PA 19464. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| MD048926L | PA | Pain Medicine (Anesthesiology) Physician |
| MD072338L | PA | Neurology Physician |
This provider holds licence MD048926L issued in PA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 8224024096
Enrolled in Medicare 3 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| Pennsylvania | O20040426000589 | Part B Supplier - Clinic/group Practice |
| Pennsylvania | O20190506000471 | Mdpp Supplier - In-person Mdpp Supplier |
| Pennsylvania | O20240614003589 | Mdpp Supplier - In-person Mdpp Supplier |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 3 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Family Medicine covers
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
All registered taxonomy codes
This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | — | — | primary |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician Pain Medicine | MD048926L | PA | |
| 207R00000X | Internal Medicine Physician | — | — | |
| 207RC0000X | Cardiovascular Disease Physician Cardiovascular Disease | — | — | |
| 207RG0100X | Gastroenterology Physician Gastroenterology | — | — | |
| 207RH0003X | Hematology & Oncology Physician Hematology & Oncology | — | — | |
| 207RI0011X | Interventional Cardiology Physician Interventional Cardiology | — | — | |
| 207RN0300X | Nephrology Physician Nephrology | — | — | |
| 207RP1001X | Pulmonary Disease Physician Pulmonary Disease | — | — | |
| 207RR0500X | Rheumatology Physician Rheumatology | — | — | |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician Sleep Medicine | — | — | |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician Sports Medicine | — | — | |
| 208000000X | Pediatrics Physician | — | — | |
| 2084N0400X | Neurology Physician Neurology | MD072338L | PA | |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center Sleep Disorder Diagnostic | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1053428425 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 23, 2006 |
| Last updated | Jul 14, 2016 |
| Status | Active |
| Practice address |
1610 MEDICAL DRIVE SUITE 310 Pottstown, PA 19464 (610) 327-4200 Fax (610) 327-8160 |
| Other identifiers |
0007964850006
· Medicaid (PA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 5 | 3 | 4 | 2 | 8 | 4 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 1 | 3 | 8 | 2 | 7 | 4 | 4 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.