Fountain Medical Associates P C
NPI 1215257837 · Family Medicine Physician · Philadelphia, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fountain Medical Associates P C is a Family Medicine Physician organization in Philadelphia, PA (NPI 1215257837).
Provider details
- NPI number
- 1215257837
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Safiyya Shabazz, Medical Director(215) 924-2440
- License
- MD428070 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1335 W Tabor RdSuite 204Philadelphia, PA 19141-3038Phone: (215) 924-2440Fax: (267) 437-2346
Registry dates
- Enumerated
- 2010-06-04
- Last updated
- 2018-07-27
Frequently asked questions
- What is Fountain Medical Associates P C's NPI number?
- Fountain Medical Associates P C's National Provider Identifier (NPI) is 1215257837, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fountain Medical Associates P C?
- Fountain Medical Associates P C is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Fountain Medical Associates P C located?
- Fountain Medical Associates P C's practice location on file with NPPES is 22 E Mount Airy Ave, Philadelphia, PA 19119.
- What is Fountain Medical Associates P C's phone number?
- The practice phone number listed in the NPPES registry for Fountain Medical Associates P C is (215) 924-2440.
- Does Fountain Medical Associates P C accept Medicare?
- Fountain Medical Associates P C is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fountain Medical Associates P C?
- The authorized official listed on Fountain Medical Associates P C's NPPES record is Safiyya Shabazz, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fountain Medical Associates P C's NPI active?
- Yes — Fountain Medical Associates P C's NPI (1215257837) is active in the NPPES registry as of the last update on 2018-07-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.