MEDICAL CENTER OF BUSTLETON PC — NPI 1861576753 (Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) in PHILADELPHIA, PA)

Plain-English Taxonomy Translation (207R00000X)

What Does Taxonomy Code 207R00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207R00000X translates in plain language to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

Primary Certifying / Accrediting Authority: American Board of Internal Medicine (ABIM)
When Patients Should Consult: Managing multiple adult chronic conditions (diabetes, high blood pressure, high cholesterol, thyroid disorders) or investigating unexplained adult symptoms.

CMS Medicare Utilization & Part D Prescribing Benchmarks

Common Procedures & Clinical Prescribing Profile

Typical clinical procedures (Medicare Part B Utilization) and therapeutic classes (Medicare Part D Prescribing) associated with MEDICAL CENTER OF BUSTLETON PC:

High-Volume Clinical Procedures & Diagnostics:

Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
Preoperative Medical Risk Assessment & Cardiac Clearance
Chronic Kidney, Hepatic & Metabolic Panel Interpretation
Adult Inpatient Hospitalist Management & Discharge Coordination

Common Therapeutic & Prescribing Classes:

Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	1861576753 (NPI-2 Organization / Facility)
Provider / Legal Name	MEDICAL CENTER OF BUSTLETON PC
Plain-English Specialty	Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: `207R00000X` (Internal Medicine)
Certifying / Licensing Body	American Board of Internal Medicine (ABIM)
Practice Location Address	9622 BUSTLETON AVENUE, SUITE 6, PHILADELPHIA, PA, 191153100
Practice Telephone / Fax	Tel: 215-673-7067 \| Fax: 215-673-4966
Administrative Mailing Address	9622 BUSTLETON AVENUE, PHILADELPHIA, PA, 191153100
Enumeration & Last Sync	Enumerated: 2006-10-25 \| Updated: 2010-06-29
Authorized Official	DONNA GAVARONE (President Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

9622 BUSTLETON AVENUE, SUITE 6, PHILADELPHIA, PA, 191153100

🗺️ Open in Google Maps & Parking ⚙️ View Enriched JSON API

ADA & HIPAA Verification Note: Practice locations registered as primary LOCATION addresses under CMS NPPES are clinical service delivery sites (distinct from billing/mailing addresses).

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All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207Q00000X` — Family Medicine Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)	State: N/A \| License: Verified \| Primary Taxonomy: Secondary
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: N/A \| License: Verified \| Primary Taxonomy: Yes

MEDICAL CENTER OF BUSTLETON PC (NPI #1861576753)