MARK FRANCIS OBENRADER MD PHD NPI 1083698229

NPI Information

  • NPI: 1083698229
  • Provider Name: MARK FRANCIS OBENRADER, MD PHD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 515 PENNSYLVANIA AVE
    2ND FL SUITE A
    FORT WASHINGTON, PA
    ZIP 19034
  • Phone: (215) 540-8408

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NPI Details

Mark Francis Obenrader, MD PHD is a family medicine in Fort Washington, PA with 46 years of experience. The provider is 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. Mark Francis Obenrader, MD PHD NPI is 1083698229. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1980

The provider's business location address is:

515 PENNSYLVANIA AVE
2ND FL SUITE A
FORT WASHINGTON, PA
ZIP 19034-314
Phone: (215) 540-8408
Fax: (215) 540-8418

The NPI 1083698229 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Assessment of emotional or behavioral problems (HCPCS:96127)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Administration of vaccine (HCPCS:90471)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 12/1/2005 and was last updated on 10/1/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD025847EPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10047316000OTHERPENNSYLVANIAINDEPENDENCE BLUE CROSS
23725226OTHERPENNSYLVANIAAETNA HMO
33Y7167OTHERPENNSYLVANIAHEALTH NET
44104719OTHERPENNSYLVANIAAETNA PPO
5007057785MEDICAIDPENNSYLVANIA
6445439MEDICARE PINPENNSYLVANIA
7110115445OTHERPENNSYLVANIARAILROAD MEDICARE
812212OTHERPENNSYLVANIABRAVO HEALTH
930019076OTHERPENNSYLVANIAKEYSTONE MERCY HEALTH PL
10445439OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
11P00360693OTHERPENNSYLVANIARAILROAD MEDICARE TPI
12B41912MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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