DR. ANDREW G BONGIOVANNI (DO) – Internal Medicine Physician, NPI 1811949191

DR. ANDREW G BONGIOVANNI (DO) is a healthcare provider. based in Broomall, Pennsylvania. specializing in Internal Medicine Physician. They hold the professional credentials DO. They hold a License No. OS003771L (PA). The NPI Number for DR. ANDREW G BONGIOVANNI (DO) is 1811949191

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW G BONGIOVANNI (DO)
NPI
1811949191
Phone
(484) 427-8999
Address
1991 SPROUL RD
Enumeration Date
16 May 2006
Last Update Date
1 May 2015

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
-
Graduation Year
1976 (50 years ago)
PAC ID
4284658170
Group Practice PAC ID
1951215201
Professional Enrollment ID
I20060118000666
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ANDREW G BONGIOVANNI (DO)

  • Sproul Road, Broomall, Marple Township, Delaware County, Pennsylvania, 19008, United States

    SUITE 450

    BROOMALL, PA 190083512

    Phone: (484) 427-8999

    Fax: (484) 421-3001

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-01-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060118000666IInternal MedicinePATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19008)

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Provider's Procedures

DR. ANDREW G BONGIOVANNI (DO) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEPA81002Urinalysis, manual test1211
INTERNAL MEDICINEPA90670Pneumococcal vaccine for injection into muscle2626

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951215201View full group profile

Reviews

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Frequently asked questions

What number should I use to identify DR. ANDREW G BONGIOVANNI (DO) for billing?
Administrative and clinical systems typically use NPI 1811949191 for DR. ANDREW G BONGIOVANNI (DO).
Quick check: is DR. ANDREW G BONGIOVANNI (DO) active?
Public NPPES data shows DR. ANDREW G BONGIOVANNI (DO) with an active NPI status right now.
What does the directory say DR. ANDREW G BONGIOVANNI (DO) does?
Insurance directories may phrase it differently, but here DR. ANDREW G BONGIOVANNI (DO) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. ANDREW G BONGIOVANNI (DO)?
DR. ANDREW G BONGIOVANNI (DO) shows a connection to Broomall, Pennsylvania in registry-derived data.
Can I export DR. ANDREW G BONGIOVANNI (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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