Academic Urology of PA, LLC
NPI 1336439645 · Ambulatory Surgical Clinic/Center · Bryn Mawr, PA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Academic Urology of PA, LLC is a Ambulatory Surgical Clinic/Center organization in Bryn Mawr, PA (NPI 1336439645).
Provider details
- NPI number
- 1336439645
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Ellis, President(610) 382-5910
- License
- 50421501 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
6 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
3,453 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Diagnostic Exam of Bladder and Urethra Using an Endoscope52000 | 2,369 | $314 |
| Simple Removal of Foreign Body, Stone, Or Stent in Urethra Or Bladder Using an Endoscope52310 | 311 | $930 |
| Biopsy of Prostate Gland55700 | 242 | $937 |
| Exam With Injections of Chemical for Destruction of Bladder Using an Endoscope52287 | 114 | $913 |
| Insertion of Sacral Nerve Neurostimulator Electrode Array64561 | 105 | $5,053 |
| Simple Change of Bladder Tube51705 | 94 |
Practice location
Mailing address
Additional practice locations (5)
- 200 E State St Ste 205Media, PA 19063-3434Phone: (610) 565-2776Fax: (610) 565-4247
- 2 Industrial Blvd Ste 120Paoli, PA 19301-1645Phone: (610) 644-2165Fax: (610) 644-2165
- 20 N Sunnybrook RdPottstown, PA 19464-2946Phone: (610) 935-9010Fax: (610) 935-1510
- 915 Old Fern Hill Rd Ste 202West Chester, PA 19380-3431Phone: (610) 692-4270Fax: (610) 692-2566
- 1055 Andrew Dr Ste aWest Chester, PA 19380-3446Phone: (610) 692-4270
Registry dates
- Enumerated
- 2011-04-08
- Last updated
- 2024-04-03
- Certified
- 2024-04-03
Frequently asked questions
- What is Academic Urology of PA, LLC's NPI number?
- Academic Urology of PA, LLC's National Provider Identifier (NPI) is 1336439645, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Academic Urology of PA, LLC?
- Academic Urology of PA, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Academic Urology of PA, LLC located?
- Academic Urology of PA, LLC's practice location on file with NPPES is 919 Conestoga Rd, Bryn Mawr, PA 19010-1352.
- What is Academic Urology of PA, LLC's phone number?
- The practice phone number listed in the NPPES registry for Academic Urology of PA, LLC is (610) 525-6580.
- Does Academic Urology of PA, LLC accept Medicare?
- Academic Urology of PA, LLC 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 Academic Urology of PA, LLC?
- The authorized official listed on Academic Urology of PA, LLC's NPPES record is David Ellis, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Academic Urology of PA, LLC's NPI active?
- Yes — Academic Urology of PA, LLC's NPI (1336439645) is active in the NPPES registry as of the last update on 2024-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.