JACK LUDMIR MD
NPI 1124058227
Obstetrics & Gynecology in Philadelphia, PA

Q: What is Jack Ludmir's NPI number?

The NPI number for Jack Ludmir is 1124058227. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Q: What is Jack Ludmir's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Ludmir was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 04, 2006PECOS Enrolled

3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-3008 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 30, 2022, Jul 21, 2022, Jul 12, 2017 (3 updates tracked since 2017).

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About Jack Ludmir Md NPPES

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

JACK LUDMIR MD (NPI 1124058227) is an individual obstetrics & gynecology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD028241E) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1124058227

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameJACK LUDMIRCredential: MD

Location Address3401 N BROAD STPhiladelphia, PA 19140-5103

Mailing Address3500 N Broad St # 1aPhiladelphia, PA 19140-4106 · (215) 707-2433

Phone(215) 707-3008

Sole ProprietorNo

Enumeration DateJuly 4, 2006

Last NPPES UpdateNovember 30, 20223 updates tracked since enumeration

NPPES CertifiedNovember 30, 2022

✔ NPI 1124058227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in PA · MD028241E

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedObstetrics & Gynecology · Maternal & Fetal MedicineTaxonomy 207VM0101X · License MD028241E (PA)

3401 N BROAD ST, Philadelphia, PA 19140

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Secondary Practice Location 1

Location 1833 Chestnut St Frnt 1Philadelphia, PA 19107-4420 · Phone (215) 955-5000 · Fax (215) 923-1089

Other Identifiers 1

Medicaid001082931PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Ludmir 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 Jack Ludmir reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Temple Faculty Practice Plan, Inc

Same address

Nephrology

3401 N BROAD ST
Philadelphia, PA 19140

Reassigned Medicare billing, Pennsylvania enrollment
1,991 clinicians in this Medicare group

NPI 1003398967 (215) 707-4600

Clinical Care Associates Of The University Of Pennsylvania Health Syst

3.5 mi

Hospitalist

150 MONUMENT RD FL 4
Bala Cynwyd, PA 19004

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: Clinical Care Associates Of The University Of Pennsylvania Health.
983 clinicians in this Medicare group

NPI 1790737468 (610) 239-2871

University Of Penn-Medical Group

4.0 mi

Psychiatry

3535 MARKET ST, 3RD FLOOR
Philadelphia, PA 19104

Reassigned Medicare billing, Pennsylvania enrollment
3,488 clinicians in this Medicare group

NPI 1821486846 (215) 746-6700

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 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

$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

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

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.

DR. JAMIE L. GARFIELD MD

Internal Medicine