| University Of Penn - Medical Group | |
|
3400 Spruce St 3 Dulles Building Philadelphia PA 19104-4206 | |
| (215) 349-8222 | |
| Not Available |
| Full Name | University Of Penn - Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 3400 Spruce St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Chante L Jackson (ENROLLMENT LEAD) |
| Authorized Official Contact | 2156626187 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Penn - Medical Group 3400 Spruce St 3 Dulles Philadelphia PA 19104-4206 Ph: (215) 349-8222 | University Of Penn - Medical Group 3400 Spruce St 3 Dulles Building Philadelphia PA 19104-4206 Ph: (215) 349-8222 |
| NPI Number | 1477660173 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 11/19/2020 |
| Medicare PECOS PAC ID | 6204730955 |
|---|---|
| Medicare Enrollment ID | O20150220000432 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477660173 | NPI | - | NPPES |
| 0002Y20116 | Other | PA | HEALTHNET |
| 0322705000 | Other | PA | KEYSTONE |
| 1010509 | Other | PA | MERCY |
| 0006610360 | Medicaid | PA | |
| 10706 | Other | PA | HEALTHPARTNERS |
| 273194 | Other | PA | MAMSI |
| 5465605 | Other | NJ | NJ-MEDICAID |
| CA0235 | Other | PA | RR MEDICARE |
| G0003165 | Other | PA | AMERICHOICE |
| 063598 | Other | PA | BLUE SHIELD |
| 496672 | Other | PA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Ricardo Morgenstern |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265480941 PECOS PAC ID: 4587554324 Enrollment ID: I20040317000111 |
| Provider Name | Mervyn D Danilewitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285682047 PECOS PAC ID: 1850281593 Enrollment ID: I20040317000777 |
| Provider Name | James Charles Reynolds |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871541219 PECOS PAC ID: 6204726953 Enrollment ID: I20040317000850 |
| Provider Name | David Edward Kaplan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730193475 PECOS PAC ID: 8022008929 Enrollment ID: I20040513000804 |
| Provider Name | John Patrick Lynch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942393830 PECOS PAC ID: 6204802069 Enrollment ID: I20040903000060 |
| Provider Name | Manoj Amrut Shirodkar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619912722 PECOS PAC ID: 2567439078 Enrollment ID: I20040914000889 |
| Provider Name | Anil K Rustgi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609919588 PECOS PAC ID: 3870555196 Enrollment ID: I20041029000381 |
| Provider Name | Mark Tomislav Osterman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669526851 PECOS PAC ID: 7618917915 Enrollment ID: I20050505000909 |
| Provider Name | James D Lewis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841204872 PECOS PAC ID: 2062453012 Enrollment ID: I20050519000575 |
| Provider Name | Kellen Karl Kovalovich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871689422 PECOS PAC ID: 4981646346 Enrollment ID: I20050525000835 |
| Provider Name | David L Jaffe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477593465 PECOS PAC ID: 2668460437 Enrollment ID: I20051020000903 |
| Provider Name | Timothy Calvin Hoops |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851464283 PECOS PAC ID: 7618991472 Enrollment ID: I20060119000278 |
| Provider Name | Gregory G Ginsberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548274244 PECOS PAC ID: 3173537826 Enrollment ID: I20060201000627 |
| Provider Name | Kashyap Panganamamula |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689652364 PECOS PAC ID: 7315952082 Enrollment ID: I20060216000342 |
| Provider Name | George A Makar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023181450 PECOS PAC ID: 0749290849 Enrollment ID: I20060504000088 |
| Provider Name | Ben Z Stanger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730179813 PECOS PAC ID: 8426055989 Enrollment ID: I20070219000005 |
| Provider Name | Noel Medeiros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841350485 PECOS PAC ID: 1153421995 Enrollment ID: I20070710000386 |
| Provider Name | Steven F Solga |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104858430 PECOS PAC ID: 1759472319 Enrollment ID: I20070810000425 |
| Provider Name | Robert S Dudnick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295833630 PECOS PAC ID: 5799879052 Enrollment ID: I20070917000616 |
| Provider Name | Liza B Hillel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851570816 PECOS PAC ID: 8921197658 Enrollment ID: I20071204000358 |
| Provider Name | Kenneth D Rothstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790753317 PECOS PAC ID: 4789777905 Enrollment ID: I20080508000487 |
| Provider Name | Kimberly A Forde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093716417 PECOS PAC ID: 9638118656 Enrollment ID: I20080729000101 |
| Provider Name | Maarouf Hoteit |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760503270 PECOS PAC ID: 0547342180 Enrollment ID: I20080919000135 |
| Provider Name | Gary R Lichtenstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700890720 PECOS PAC ID: 9133276272 Enrollment ID: I20090407000523 |
| Provider Name | Neilanjan Nandi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710188974 PECOS PAC ID: 6709933435 Enrollment ID: I20090414000707 |
| Provider Name | Jacqueline T Hahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447226485 PECOS PAC ID: 8527117498 Enrollment ID: I20090526000068 |
| Provider Name | Xinying Shen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386878569 PECOS PAC ID: 7416006119 Enrollment ID: I20090529000363 |
| Provider Name | Meenakshi Bewtra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811059181 PECOS PAC ID: 7517017684 Enrollment ID: I20090611000074 |
| Provider Name | Anna M Buchner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952336471 PECOS PAC ID: 4082706130 Enrollment ID: I20090612000234 |
| Provider Name | Jaya Krishna Chintanaboina |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144478454 PECOS PAC ID: 6406908706 Enrollment ID: I20090717000147 |
| Provider Name | Gary W Falk |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699732537 PECOS PAC ID: 7416960216 Enrollment ID: I20100106000066 |
| Provider Name | Jonathan P Katz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942214655 PECOS PAC ID: 4385779420 Enrollment ID: I20100315000965 |
| Provider Name | Michael A Pack |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477567162 PECOS PAC ID: 7618002585 Enrollment ID: I20100317000336 |
| Provider Name | Kuchikala Rajender Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992848519 PECOS PAC ID: 7810022795 Enrollment ID: I20100317000425 |
| Provider Name | Faten Nureddin Aberra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225042989 PECOS PAC ID: 5698800597 Enrollment ID: I20100317000675 |
| Provider Name | Yu-xiao Yang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205840907 PECOS PAC ID: 0244365039 Enrollment ID: I20100318000477 |
| Provider Name | Michael L Kochman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164438883 PECOS PAC ID: 7517092349 Enrollment ID: I20100318000814 |
| Provider Name | Frederick A. Nunes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033206032 PECOS PAC ID: 0042347338 Enrollment ID: I20100419000197 |
| Provider Name | Katherine A Weyant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437478989 PECOS PAC ID: 2860524659 Enrollment ID: I20100714000343 |
| Provider Name | Robert B Stein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376585208 PECOS PAC ID: 0042353732 Enrollment ID: I20100817000636 |
| Provider Name | Octavia E Pickett-blakely |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700941309 PECOS PAC ID: 1658565379 Enrollment ID: I20101027000142 |
| Provider Name | Immanuel K Ho |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083751275 PECOS PAC ID: 8628262367 Enrollment ID: I20101027000396 |
| Provider Name | Farzana Rashid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174731442 PECOS PAC ID: 0143418897 Enrollment ID: I20101221001042 |
| Provider Name | Nuzhat A. Ahmad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144234832 PECOS PAC ID: 5193913887 Enrollment ID: I20101222000241 |
| Provider Name | Rebecca G Wells |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346256070 PECOS PAC ID: 6901095330 Enrollment ID: I20110114000848 |
| Provider Name | Joanne K Linevsky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467408633 PECOS PAC ID: 9739360561 Enrollment ID: I20110225000740 |
| Provider Name | David S Goldberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891987806 PECOS PAC ID: 2567640345 Enrollment ID: I20110627000113 |
| Provider Name | Caroline L Kerner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588866024 PECOS PAC ID: 2264610930 Enrollment ID: I20110628000455 |
| Provider Name | Ragunath Appasamy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467401976 PECOS PAC ID: 7810169943 Enrollment ID: I20111013000215 |
| Provider Name | Christina A Twyman-saint Victor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124220603 PECOS PAC ID: 3870733439 Enrollment ID: I20130703000195 |
| Provider Name | Therese Bittermann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285951426 PECOS PAC ID: 6608017082 Enrollment ID: I20130727000010 |
| Provider Name | Vesselin T Tomov |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487857314 PECOS PAC ID: 4486896826 Enrollment ID: I20130814000216 |
| Provider Name | Vandana Khungar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851596571 PECOS PAC ID: 4183859564 Enrollment ID: I20131022000372 |
| Provider Name | Jesse Andrew Green |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952393027 PECOS PAC ID: 2163616384 Enrollment ID: I20140627000036 |
| Provider Name | Ting-chin David Shen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831340090 PECOS PAC ID: 4082839154 Enrollment ID: I20140703000059 |
| Provider Name | Marina Serper |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689871717 PECOS PAC ID: 6901021641 Enrollment ID: I20140714000208 |
| Provider Name | Christina Taing Vo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568898989 PECOS PAC ID: 8628296704 Enrollment ID: I20140903000627 |
| Provider Name | Michael Rajala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821110040 PECOS PAC ID: 3678741337 Enrollment ID: I20141105001244 |
| Provider Name | Meghan D Holena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720497050 PECOS PAC ID: 9830311851 Enrollment ID: I20141106001820 |
| Provider Name | Jan Michael Axel Klapproth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942316302 PECOS PAC ID: 3577629484 Enrollment ID: I20141113001653 |
| Provider Name | Erin Lucinda Toto |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740443290 PECOS PAC ID: 4981882156 Enrollment ID: I20150406000914 |
| Provider Name | Tanya Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407241086 PECOS PAC ID: 9335468057 Enrollment ID: I20150501000070 |
| Provider Name | Bryson Katona |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841434339 PECOS PAC ID: 7214258771 Enrollment ID: I20150609001728 |
| Provider Name | Kristle L Lynch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104059393 PECOS PAC ID: 7911158365 Enrollment ID: I20150610001006 |
| Provider Name | Laurel R Fisher |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538241062 PECOS PAC ID: 6608905195 Enrollment ID: I20150804005187 |
| Provider Name | Richard M Wu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013150796 PECOS PAC ID: 5698999654 Enrollment ID: I20150804005239 |
| Provider Name | Xiao Zhao |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144480914 PECOS PAC ID: 9739367053 Enrollment ID: I20151012002013 |
| Provider Name | Dawn M Capaldo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114393980 PECOS PAC ID: 5698084911 Enrollment ID: I20151027001273 |
| Provider Name | Robert M Strauss |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427033588 PECOS PAC ID: 1557443835 Enrollment ID: I20151120002537 |
| Provider Name | Hilary Rose Ugras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083099840 PECOS PAC ID: 9234436858 Enrollment ID: I20160328000333 |
| Provider Name | Raina Shivashankar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699096347 PECOS PAC ID: 6305018953 Enrollment ID: I20160531002410 |
| Provider Name | Josephine Ni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770718066 PECOS PAC ID: 1254621485 Enrollment ID: I20160601000096 |
| Provider Name | Kirk J Wangensteen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104067123 PECOS PAC ID: 8527358647 Enrollment ID: I20160602000510 |
| Provider Name | Shivan Jatin Mehta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982865127 PECOS PAC ID: 0840583555 Enrollment ID: I20160718002206 |
| Provider Name | Crystale J Cruz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275784969 PECOS PAC ID: 4880832872 Enrollment ID: I20160727000183 |
| Provider Name | Ethan Michael Weinberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760625487 PECOS PAC ID: 6002129145 Enrollment ID: I20160808001868 |
| Provider Name | Amber Silas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528450087 PECOS PAC ID: 0840578654 Enrollment ID: I20161031000187 |
| Provider Name | Abby R Neely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922552678 PECOS PAC ID: 9638458730 Enrollment ID: I20161114000189 |
| Provider Name | Elizabeth D O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831645910 PECOS PAC ID: 2567741333 Enrollment ID: I20161118000158 |
| Provider Name | Lauren Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255874053 PECOS PAC ID: 5597047290 Enrollment ID: I20170112001477 |
| Provider Name | Nikia Rahemtulla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730630898 PECOS PAC ID: 1456633437 Enrollment ID: I20170127000363 |
| Provider Name | Michael John Kegerreis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558813402 PECOS PAC ID: 8022391853 Enrollment ID: I20170201002135 |
| Provider Name | Ryan W Urbas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720344849 PECOS PAC ID: 4486938867 Enrollment ID: I20170302001435 |
| Provider Name | Hannah Noel Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821535402 PECOS PAC ID: 8224312376 Enrollment ID: I20170309000416 |
| Provider Name | Sophea Bachalis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073050928 PECOS PAC ID: 2264717255 Enrollment ID: I20170313001586 |
| Provider Name | Patricia Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619413879 PECOS PAC ID: 9739466640 Enrollment ID: I20170502001924 |
| Provider Name | Stacey Beth Prenner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992098859 PECOS PAC ID: 7810265832 Enrollment ID: I20170616000054 |
| Provider Name | Helen Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770882243 PECOS PAC ID: 2466684147 Enrollment ID: I20170622002244 |
| Provider Name | Yecheskel Schneider |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043509037 PECOS PAC ID: 9830467356 Enrollment ID: I20170623002174 |
| Provider Name | Gene Ma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316238579 PECOS PAC ID: 6002113305 Enrollment ID: I20170815000525 |
| Provider Name | Nitin K Ahuja |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396035689 PECOS PAC ID: 5193953909 Enrollment ID: I20170828000056 |
| Provider Name | Nancy Khov |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992099196 PECOS PAC ID: 7012275936 Enrollment ID: I20171227000138 |
| Provider Name | Esther C Bliss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346756947 PECOS PAC ID: 0547521767 Enrollment ID: I20180305002224 |
| Provider Name | Shazia Mehmood Siddique |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407117252 PECOS PAC ID: 5294984050 Enrollment ID: I20180514002862 |
| Provider Name | Yi Jia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225398704 PECOS PAC ID: 1658640479 Enrollment ID: I20180615000310 |
| Provider Name | Craig Ryan Gluckman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881942506 PECOS PAC ID: 9830444694 Enrollment ID: I20180619001666 |
| Provider Name | Akinbowale Olatokunbo Oyalowo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821356957 PECOS PAC ID: 6800186115 Enrollment ID: I20180716002697 |
| Provider Name | Monica Saumoy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457640484 PECOS PAC ID: 4284902925 Enrollment ID: I20180718001855 |
| Provider Name | Akriti Saxena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982965133 PECOS PAC ID: 8123376266 Enrollment ID: I20180806001185 |
| Provider Name | Ravy Kuppalapalle Vajravelu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205196599 PECOS PAC ID: 8426354440 Enrollment ID: I20180821003874 |
| Provider Name | Shivali Berera |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922374594 PECOS PAC ID: 3779832514 Enrollment ID: I20180828000714 |
| Provider Name | Maura Levandowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770053324 PECOS PAC ID: 9739425562 Enrollment ID: I20190115002145 |
| Provider Name | Joseph Rayfield Triggs |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417299629 PECOS PAC ID: 8426394388 Enrollment ID: I20190604000648 |
| Provider Name | Abhik Bhattacharya |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285074229 PECOS PAC ID: 0648567727 Enrollment ID: I20190702001193 |
| Provider Name | Bhavana Bhagya Rao |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437598331 PECOS PAC ID: 9032338769 Enrollment ID: I20190711001771 |
| Provider Name | Nicole Maloney Belle |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497191944 PECOS PAC ID: 0143557249 Enrollment ID: I20190813000744 |
| Provider Name | Christopher J Schmoyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093101552 PECOS PAC ID: 8820302250 Enrollment ID: I20200427000685 |
| Provider Name | Saad Javed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780019356 PECOS PAC ID: 8628499811 Enrollment ID: I20200526000472 |
| Provider Name | Nadim Mahmud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881033140 PECOS PAC ID: 3678792256 Enrollment ID: I20200707000613 |
| Provider Name | Marina Baskharoun Hines |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982134789 PECOS PAC ID: 8628347929 Enrollment ID: I20200714000567 |
| Provider Name | Nikhil Thiruvengadam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972923431 PECOS PAC ID: 6901105386 Enrollment ID: I20200831002531 |
| Provider Name | Abraham Segura |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013443597 PECOS PAC ID: 8123375482 Enrollment ID: I20200911000781 |
| Provider Name | Kenechukwu Olufemi Chudy-onwugaje |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861749780 PECOS PAC ID: 1355632233 Enrollment ID: I20200918000792 |
| Provider Name | Alexandra Weiss |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043659774 PECOS PAC ID: 7810316072 Enrollment ID: I20201007002920 |
| Provider Name | Sonali Palchaudhuri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447593124 PECOS PAC ID: 3274779806 Enrollment ID: I20201029000309 |
| Provider Name | Samarth Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437407772 PECOS PAC ID: 2769796028 Enrollment ID: I20210223001467 |
| Provider Name | Shadi Yarandi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811280274 PECOS PAC ID: 5496970964 Enrollment ID: I20210504002638 |
| Provider Name | Sarah Ellen Coughlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982091716 PECOS PAC ID: 0345640322 Enrollment ID: I20210614000142 |
| Provider Name | Shivani Umang Thanawala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033598180 PECOS PAC ID: 5597166603 Enrollment ID: I20210628000856 |
| Provider Name | Galen Leung |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386056794 PECOS PAC ID: 4789087685 Enrollment ID: I20210729003428 |
| Provider Name | Taneisha Grant |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457534828 PECOS PAC ID: 7315195468 Enrollment ID: I20210809001002 |
| Provider Name | Moira Hilscher Sugrue |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467892349 PECOS PAC ID: 9436390226 Enrollment ID: I20210809003041 |
| Provider Name | Jonathan Dante Nahas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528485562 PECOS PAC ID: 3870833791 Enrollment ID: I20210924000888 |
| Provider Name | Jorge Marrero |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275616195 PECOS PAC ID: 2860552692 Enrollment ID: I20220104003024 |
| Provider Name | Chung Sang Tse |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417336215 PECOS PAC ID: 3173838596 Enrollment ID: I20220621000321 |
| Provider Name | Andrew Weber |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851786636 PECOS PAC ID: 1254696339 Enrollment ID: I20220627000120 |
| Provider Name | Maimon Hubbi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942549738 PECOS PAC ID: 8426307307 Enrollment ID: I20220629000027 |
| Provider Name | Michael George Daniel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407195621 PECOS PAC ID: 4385935345 Enrollment ID: I20220718001381 |
| Provider Name | Jose Ruiz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861842601 PECOS PAC ID: 5294020525 Enrollment ID: I20220720000091 |
| Provider Name | Kelley Weinfurtner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972990893 PECOS PAC ID: 2860875390 Enrollment ID: I20220817000254 |
| Provider Name | Christine Chan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962795450 PECOS PAC ID: 4284909565 Enrollment ID: I20220926000510 |
| Provider Name | Alexandra Lee Strauss |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497281596 PECOS PAC ID: 9638428485 Enrollment ID: I20230719002701 |
| Provider Name | Yvette Achuo-egbe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467801241 PECOS PAC ID: 7012205958 Enrollment ID: I20230810001408 |
| Provider Name | Priya Sehgal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336671841 PECOS PAC ID: 6800137431 Enrollment ID: I20230908000351 |
| Provider Name | Paul Kaimakliotis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558892588 PECOS PAC ID: 6305115908 Enrollment ID: I20231005001375 |
| Provider Name | Alice Pang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104359785 PECOS PAC ID: 6800134560 Enrollment ID: I20231009002986 |
| Provider Name | Brianna Shinn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801240387 PECOS PAC ID: 6608167952 Enrollment ID: I20231023000370 |
| Provider Name | Ahmed T. Chatila |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376079145 PECOS PAC ID: 5991124315 Enrollment ID: I20231219003470 |
| Provider Name | Shelby Leigh Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124882154 PECOS PAC ID: 2466891957 Enrollment ID: I20240417000245 |
| Provider Name | Aaron Hecht |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487141008 PECOS PAC ID: 0648528083 Enrollment ID: I20240515002625 |
| Provider Name | Iboro Charles Umana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699262154 PECOS PAC ID: 3072861525 Enrollment ID: I20240522000147 |
| Provider Name | Sharon Wolfson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093160475 PECOS PAC ID: 9537501531 Enrollment ID: I20240522001784 |
| Provider Name | Debdeep Banerjee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003347709 PECOS PAC ID: 3779855218 Enrollment ID: I20240604000608 |
| Provider Name | Amanda Pebenito |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053809582 PECOS PAC ID: 4880945633 Enrollment ID: I20240610002114 |
| Provider Name | Netanel Zilberstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700312881 PECOS PAC ID: 4385915875 Enrollment ID: I20240823001324 |
| Provider Name | Jean Padilla Aponte |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902335367 PECOS PAC ID: 7113375197 Enrollment ID: I20240908000060 |
| Provider Name | Aruj Choudhry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225567795 PECOS PAC ID: 8820366826 Enrollment ID: I20240916000573 |
Laura Yatvin Nutrition Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4231 N. 5th Street, Philadelphia, PA 19140 Phone: 215-455-5370 Fax: 215-455-5374 | |
Health Hero Pa Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 Dickinson St, Philadelphia, PA 19147 Phone: 484-667-3382 | |
Vo Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1735 Market St Fl 52, Philadelphia, PA 19103 Phone: 267-314-7252 | |
Rooted Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3101 Tyson Ave, Philadelphia, PA 19149 Phone: 917-861-2531 | |
Care Health Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1308 Cottman Ave, Philadelphia, PA 19111 Phone: 732-766-1827 Fax: 609-890-0950 | |
University Of Penn - Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3400 Spruce St, 3 Ravdin, Suite F, Pulmonary & Critical Care, Philadelphia, PA 19104 Phone: 215-662-3202 | |