DR. TINA AHMADINEJAD M.D.
NPI 1114331337
Family Medicine in Philadelphia, PA

Active since June 16, 2014PECOS Enrolled
1080 N DELAWARE AVE STE 800, PHILADELPHIA, PA 19125(267) 463-5800(215) 586-6038 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 6, 2021, Jan 31, 2020 (2 updates tracked since 2020).

About Dr. Tina Ahmadinejad M.d. NPPES

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

DR. TINA AHMADINEJAD M.D. (NPI 1114331337) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD460436) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chester.

NPPES Registry Identity

NPI1114331337
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TINA AHMADINEJADCredential: M.D.
Location Address1080 N DELAWARE AVE STE 800Philadelphia, PA 19125-4338
Mailing Address1080 N Delaware Ave Ste 800Philadelphia, PA 19125-4338 · (267) 463-5800 · Fax (215) 586-6038
Fax(215) 586-6038
Sole ProprietorNo
Enumeration DateJune 16, 2014
Last NPPES UpdateJanuary 6, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2021
NPI 1114331337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD460436
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT207183 (PA)
1080 N DELAWARE AVE STE 800, Philadelphia, PA 19125

Secondary Practice Location 1

Location 1125 E 9th StChester, PA 19013-6098 · Phone (610) 872-6131 · Fax (610) 872-5128

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Tina Ahmadinejad M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19125 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 17

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

Internal Medicine
1080 N DELAWARE AVE STE 800
PHILADELPHIA, PA 19125
Pharmacist
1080 N DELAWARE AVE STE 800
PHILADELPHIA, PA 19125
Family Medicine
1080 N DELAWARE AVE STE 800
PHILADELPHIA, PA 19125
Nurse Practitioner (Primary Care)
1080 N DELAWARE AVE STE 800
PHILADELPHIA, PA 19125
Nurse Practitioner (Family)
1080 N DELAWARE AVE STE 800
PHILADELPHIA, PA 19125
Dietitian, Registered (Nutrition, Obesity and Weight Management)
1080 N DELAWARE AVE STE 800
PHILADELPHIA, PA 19125
Internal Medicine (Infectious Disease)
1080 N DELAWARE AVE STE 800
PHILADELPHIA, PA 19125
Family Medicine
1080 N DELAWARE AVE STE 800
PHILADELPHIA, PA 19125

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114331337, enumerated as an "individual" on June 16, 2014.

The provider is located at 1080 N DELAWARE AVE STE 800 PHILADELPHIA, PA 19125 and the phone number is (267) 463-5800.

Family Medicine with taxonomy code 207Q00000X.