DR. ERIN ELIZABETH TULLY MD
NPI 1053949768
Pediatrics in Philadelphia, PA

Q: What is Erin Tully's NPI number?

The NPI number for Erin Tully is 1053949768. It was assigned to this individual provider in the NPPES registry on March 29, 2020.

Q: What is Erin Tully's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Erin Tully was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 29, 2020PECOS Enrolled

3400 SPRUCE ST, PHILADELPHIA, PA 19104(215) 662-4000 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2024, Apr 15, 2020, Mar 29, 2020 (3 updates tracked since 2020).

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About Dr. Erin Elizabeth Tully Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERIN ELIZABETH TULLY MD (NPI 1053949768) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD484578) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053949768

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. ERIN ELIZABETH TULLYCredential: MD

Location Address3400 SPRUCE STPhiladelphia, PA 19104-4238

Mailing Address2929 Arch Street, Cira Center 12th FlPhiladelphia, PA 19104-2857 · (717) 712-3841

Phone(215) 662-4000

Sole ProprietorYes

Enumeration DateMarch 29, 2020

Last NPPES UpdateJuly 10, 20243 updates tracked since enumeration

NPPES CertifiedJuly 2, 2024

✔ NPI 1053949768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in PA · MD484578

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3400 SPRUCE ST, Philadelphia, PA 19104

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Erin Elizabeth Tully Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Erin Tully reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Penn - Medical Group

Same address

Hospitalist

3400 SPRUCE ST
Philadelphia, PA 19104

Reassigned Medicare billing, Pennsylvania enrollment
752 clinicians in this Medicare group

NPI 1053447151 (215) 662-4000

Childrens Health Care Associates, Inc

0.1 mi

Neurology

3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
Philadelphia, PA 19104

Reassigned Medicare billing, Pennsylvania enrollment
1,225 clinicians in this Medicare group

NPI 1033204086 (215) 590-1000

Trustees Of The University Of Pennsylvania

0.5 mi

Internal Medicine

51 N 39TH ST
Philadelphia, PA 19104

Reassigned Medicare billing, Pennsylvania enrollment
199 clinicians in this Medicare group

NPI 1124882949 (215) 662-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH FOGLIA MD

Pediatrics

3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3228

JOEL M STEIN MD

Radiology (Diagnostic Radiology)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3005

PRISCILLA NELSON M.D.

Anesthesiology

3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104

Philadelphia County (215) 349-8310

DR. JASON THOMAS ACKRIVO MD

Internal Medicine (Pulmonary Disease)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 614-0871

JEAN-PHILIPPE RICHARD DMD

Student in an Organized Health Care Education/Training Program

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6176

LEAH M LOPEZ PA-C

Physician Assistant (Medical)

3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-7870

JOANIE M GARRATT MD

Radiology (Diagnostic Radiology)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3000

JENNIFER DEKERLEGAND

Physical Therapist

3400 SPRUCE ST, 1 WHITE BUILDING
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3265

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erin Tully's NPI number?

The NPI number for Erin Tully is 1053949768. It was assigned to this individual provider in the NPPES registry on March 29, 2020.

Where is Erin Tully located?

Erin Tully practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-4000.

What is Erin Tully's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Erin Tully enrolled in Medicare?

Yes. Erin Tully is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Erin Tully's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erin Tully reassigns Medicare benefits to 3 organizations: University Of Penn - Medical Group (Philadelphia, PA), Childrens Health Care Associates, Inc (Philadelphia, PA) and Trustees Of The University Of Pennsylvania (Philadelphia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erin Tully's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Erin Tully was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.