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Active NPI 1609136993 Individual Practitioner Male Practitioner

Dr. Elijah Wade Riddle , MD

Surgery • Wynnewood, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Elijah Riddle, MD is a certified Surgery practicing in Wynnewood, PA. With approximately 14 years of clinical experience since graduating from Washington University School Of Medicine in 2012, Dr. Riddle delivers high-quality medical care to the local community at 100 E LANCASTER AVE.

Dr. Riddle maintains professional affiliations with University Physician Associates Of New Jersey Inc, Main Line Healthcare and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 E Lancaster Ave
Suite 275 Lankenau Med Sci Bldg

Wynnewood, PA 190963450

Telephone 6106421908
Fax 6106426808
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Washington University School Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Wynnewood, PA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs -11.6 yrs vs City Avg
City Avg: 25.6 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
24 Specialists

Practicing in Wynnewood, PA (1976 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Riddle (14 Years) 14 Yrs
Wynnewood Specialty Average (25.6 Years) 25.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes
28 16 $187.00 $52.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
18 18 $595.00 $138.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
14 12 $264.00 $83.65

Medical Specialties & State Licenses

CMS Verified: 2025-11-20
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD454180

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Pediatric Surgery

NUCC Taxonomy Code: 2086S0120X

State License PA MD454180

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Hospital & Practice Group Affiliations

Main Line Healthcare

100 E Lancaster Ave, Wynewood, PA 190963450

Phone: 6106421908

University Physician Associates Of New Jersey Inc

30 Bergen St, Newark, NJ 071073000

Phone: 9739720037

Secondary Practice Locations

3401 Civic Center Blvd, Division Of Surgery

Philadelphia, PA 191044319

Phone: 2156626156

735 Norman Dr Ste 3

Lebanon, PA 170427559

Phone: 7172707908

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners
NPI 1003819079

Doctor of Medicine (M.D.)

Arvind Sabesan

Surgery - Surgical Oncology

NPI 1023308574
Nicole Bryan , PA-C

Physician Assistant

NPI 1043614449

Physician Assistant (Certified)

NPI 1124099536

Doctor of Medicine (M.D.)

Michael Pottieger , PA-C

Physician Assistant

NPI 1154090603

Physician Assistant (Certified)

Jayln Maulfair , PA-C

Physician Assistant

NPI 1174341838

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location November 20, 2025

Registered at 100 E LANCASTER AVE, SUITE 275 LANKENAU MED SCI BLDG, WYNNEWOOD, PA 190963450 (Tel: 6106421908)

📍
Updated Business Mailing Address November 20, 2025

Registered at 3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 190732336

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2025

Surgery (License #MD454180 in PA)

📍
Updated Practice Location September 19, 2019

Registered at 735 NORMAN DR STE 3, LEBANON, PA 170427559 (Tel: 7172707908)

NPI Profile Active October 14, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 14, 2015

Registered at 3401 CIVIC CENTER BLVD, DIVISION OF SURGERY, PHILADELPHIA, PA 191044319 (Tel: 2156626156)

📍
Updated Business Mailing Address October 14, 2015

Registered at 3400 SPRUCE ST, PHILADELPHIA, PA 191044206 (Tel: 2156626156)

👤
Provider Name / Credentials Updated October 14, 2015

Recorded as ELIJAH RIDDLE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2015

Surgery (License #MT201557 in PA)

🟢
Initial NPI Registration & Enumeration May 21, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609136993
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2012
Last Update: November 20, 2025
Sole Proprietor: No

Mailing Address

3803 W Chester Pike Ste 160

Newtown Square, PA 190732336

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.