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TATIANA BERGER POLICARPO MD
NPI 1104314947
Internal Medicine - Gastroenterology in Philadelphia, PA

Active since April 26, 2018PECOS EnrolledAccepts Medicare Assignment
1101 CHESTNUT ST, PHILADELPHIA, PA 19107(215) 955-8900(215) 923-3447 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 16, 2024, Feb 7, 2024, Jun 18, 2018 and 1 more (4 updates tracked since 2018).

About Tatiana Berger Policarpo Md NPPES

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

TATIANA BERGER POLICARPO MD (NPI 1104314947) is an individual gastroenterology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD484326) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Boston University School Of Medicine (2018).

NPPES Registry Identity

NPI1104314947
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameTATIANA BERGER POLICARPOCredential: MD
Location Address1101 CHESTNUT STPhiladelphia, PA 19107-3612
Mailing Address132 S 10th Street, 480 Main BuildingPhiladelphia, PA 19107-5244 · (215) 955-8900
Phone(215) 955-8900
Fax(215) 923-3447
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2018
Enumeration DateApril 26, 2018
Last NPPES UpdateOctober 28, 20244 updates tracked since enumeration
NPPES CertifiedOctober 28, 2024
✔ NPI 1104314947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in PA · MD484326
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1101 CHESTNUT ST, Philadelphia, PA 19107
Open in Google Maps ↗

Other Identifiers 1

OtherMD484326PA · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tatiana Berger Policarpo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698025724
PECOS Enrollment IDI20240514000595
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
14 services14 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
13 services13 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
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.

EMILY RUBIN R.D.
Dietitian, Registered
1101 CHESTNUT ST
PHILA, PA 19107
Philadelphia County (215) 955-8900
LAUREL VIRGINIA KOVALCHICK MD
Psychiatry & Neurology (Neurology)
1101 CHESTNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-1234
CHRISTOPHER JAMES ADKINS M.D.
Internal Medicine (Gastroenterology)
1101 CHESTNUT ST
PHILA, PA 19107
Philadelphia County (215) 955-8900
SARAH F ADAMS CCC-SLP
Speech-Language Pathologist
1101 CHESTNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6760
REBECCA LOH
Internal Medicine (Gastroenterology)
1101 CHESTNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8900
EDDIE DIAZ SERRANO AUD
Audiologist
1101 CHESTNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6760
RORY MARGARET ANDERSON CRNP
Nurse Practitioner (Family)
1101 CHESTNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (800) 533-3669
MAEVE CALLAHAN CRNP
Nurse Practitioner (Adult Health)
1101 CHESTNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (800) 533-3669

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 Tatiana Policarpo's NPI number?

The NPI number for Tatiana Policarpo is 1104314947. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Where is Tatiana Policarpo located?

Tatiana Policarpo practices at 1101 Chestnut St, Philadelphia, PA 19107. The listed phone number is (215) 955-8900.

What is Tatiana Policarpo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Tatiana Policarpo enrolled in Medicare?

Yes. Tatiana Policarpo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tatiana Policarpo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Tatiana Policarpo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tatiana Policarpo affiliated with any hospitals?

According to CMS data, Tatiana Policarpo is affiliated with Thomas Jefferson University Hospital and Main Line Hospital Lankenau.

When was this NPI record last updated?

The NPPES record for Tatiana Policarpo was last updated on October 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.