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Mercy Management of Southeastern Pennsylvania

Internal Medicine Physician in Philadelphia, PA · enumerated 2005 · authorized official Doug;As Smith, Vp Financial Services.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194701292

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Registry record

Entity type Organization (Type 2)
Legal business name Mercy Management of Southeastern Pennsylvania
Other name <Unavail>
Practice address 2821 Island Ave, Suite D& E, Philadelphia, PA, 19153
Fax (215) 863-6111
Enumeration date Dec 20, 2005
Last updated in NPPES May 9, 2008

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Doug;As Smith
Title Vp Financial Services

Other identifiers

Identifier Type State Issuer
2234269001 Other PA AMERIHEALTH DELAWARE
2234269001 Other PA KEYSTONE HEALTH PCP 65
100778793 0152 Medicaid PA -
125186900 Other PA DEPT OF LABOR
2059546 Other PA AETNA MEDICARE
1551070 Other PA AMERIHEALTH ADMIN
1551070 Other PA BLUE SHIELD COMP
2234269001 Other PA AMERIHEALTH NEW JERSEY
2234269001 Other PA AMERIHEALTH HMO
2234269001 Other PA BLUE SHIELD ILIN
30010759 Other PA KEYSTONE MERCY
1551070 Other PA BLUE SHIELD
2234269001 Other PA KEYSTONE HEALTH PLAN PCP
1551070 Other PA BLUE SHIELD PA 65
2059546 Other PA AETNA HMO PPO

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Mercy Management of Southeastern Pennsylvania?
Mercy Management of Southeastern Pennsylvania is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-05-09.