DR. STEPHEN M SANDELICH MD
NPI 1114212099
Emergency Medicine - Pediatric Emergency Medicine in Philadelphia, PA

Active since June 18, 2011PECOS EnrolledAccepts Medicare Assignment
3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-5030(215) 707-3494 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 28, 2017, Nov 13, 2015 (2 updates tracked since 2015).

About Dr. Stephen M Sandelich Md NPPES

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

DR. STEPHEN M SANDELICH MD (NPI 1114212099) is an individual pediatric emergency medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD450594) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1114212099
Entity TypeIndividualMale
Primary Taxonomy207PP0204X
Provider Legal NameDR. STEPHEN M SANDELICHCredential: MD
Location Address3401 N BROAD STPhiladelphia, PA 19140-5103
Mailing Address2450 W Hunting Park AvePhiladelphia, PA 19129-1302 · (215) 707-8561 · Fax (215) 707-3677
Fax(215) 707-3494
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 18, 2011
Last NPPES UpdateFebruary 28, 20172 updates tracked since enumeration
NPI 1114212099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PP0204X
Licenses Licensed in PA · MD450594 Licensed in DE · C10011479
Definition
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
Also ListedPediatricsTaxonomy 208000000X · License MT198952 (PA)
3401 N BROAD ST, Philadelphia, PA 19140

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

Dr. Stephen M Sandelich 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 ID4385954866
PECOS Enrollment IDI20151112002683
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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.

Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Anesthesiology
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Diagnostic Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Radiation Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST, 812 PARKINSON PAVILION
PHILADELPHIA, PA 19140

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 Stephen Sandelich's NPI number?

The NPI number for Stephen Sandelich is 1114212099. It was assigned to this individual provider in the NPPES registry on June 18, 2011.

Where is Stephen Sandelich located?

Stephen Sandelich practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-5030.

What is Stephen Sandelich's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Is Stephen Sandelich enrolled in Medicare?

Yes. Stephen Sandelich 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.

When was this NPI record last updated?

The NPPES record for Stephen Sandelich was last updated on February 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.