Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elijah Wade Riddle, MD

Individual provider Surgery Physician · NPI 1609136993

Elijah Wade Riddle, MD is a General Surgery in Wynnewood, Pennsylvania. Graduated from Washington University School of Medicine in 2012, 14 years ago. Practices with Main Line Healthcare, a 1,153-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
14
Trained at
Washington University School of Medicine
Licensed in
PA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 E Lancaster Ave Ste 275 Lankenau Med Sci Bldg
Wynnewood, PA 19096-3450
Phone: (610) 642-1908
Fax: (610) 642-6808
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 735 Norman Dr Ste 3, Lebanon, PA 17042-7559 — (717) 270-7908
  • 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 — (215) 662-6156

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD454180 (PA)
Pediatric Surgery Physician Taxonomy 2086S0120X · Licence MD454180 (PA)

Record details

NPI number1609136993
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2012
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025
Mailing address3803 W Chester Pike Ste 160, Newtown Square, PA 19073-2336

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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