CARDIOLOGY CONSULTANTS OF PHILADELPHIA @ JEFFERSON
NPI 1023052172
Internal Medicine - Cardiovascular Disease in Philadelphia, PA
- Organization
- Internal Medicine
- Cardiovascular Disease
- Accepts Insurance
- CLIA Number: 39D0683469
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-15-2027
About CARDIOLOGY CONSULTANTS OF PHILADELPHIA @ JEFFERSON
This page provides the complete NPI Profile along with additional information for Cardiology Consultants Of Philadelphia @ Jefferson, an internist established in Philadelphia, Pennsylvania operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1023052172 assigned on June 2006. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Cardiology Consultants Of Philadelphia @ Jefferson operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Cardiology Consultants Of Philadelphia @ Jefferson. The authorized official of this NPI record is Dawn Padgett (Credentialing Manager)
- NPI
- 1023052172 Verify this NPI
- Provider Legal Name
- METHODIST ASSOCIATES IN HEALTHCARE HEART STATION
- Other Organization Name
- CARDIOLOGY CONSULTANTS OF PHILADELPHIA @ JEFFERSON
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1703 S BROAD ST STE 300 PHILADELPHIA, PA 19148
- Location Phone
- (215) 463-5333
- Location Fax
- (215) 463-8085
- Mailing Address
- PO BOX 828937 PHILADELPHIA, PA 19182
- Mailing Phone
- (215) 503-1240
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-16-2006
- Last Update Date
- 06-13-2024
- Code Navigator
An internist like Cardiology Consultants Of Philadelphia @ Jefferson is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 2301 S Broad St 2nd Floor
Philadelphia, PA 19148
(215) 952-9300 - 1809 W Oregon Ave Fl 1
Philadelphia, PA 19145
(215) 389-3890
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RC0001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207RI0011X | Allopathic & Osteopathic Physicians | Internal Medicine |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Principal Bronze HSA - EPO
- Principal Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 001536515 | MEDICAID (05) | PA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D0683469
- Facility Type
- Physician Office
- Certificate Effective Date
- January 16, 2025
- Certificate Expiration Date
- January 15, 2027
- Laboratory Director
- PASQUALE PROCACCI MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Cardiology Consultants Of Philadelphia @ Jefferson to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for CARDIOLOGY CONSULTANTS OF PHILADELPHIA @ JEFFERSON
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
PHILADELPHIA, PA 19148
PHILADELPHIA, PA 19148
PHILADELPHIA, PA 19148
PHILADELPHIA, PA 19148
PHILADELPHIA, PA 19148
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023052172, enumerated as an "organization" on June 16, 2006.
The provider is located at 1703 S BROAD ST STE 300 PHILADELPHIA, PA 19148 and the phone number is (215) 463-5333.
Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter. Please consult your insurance carrier or call the provider to verify.
