Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SYDNEY ALEXIS DONNELLY MD
NPI 1154012706
Family Medicine in Philadelphia, PA

Q: What is Sydney Donnelly's NPI number?

The NPI number for Sydney Donnelly is 1154012706. It was assigned to this individual provider in the NPPES registry on May 16, 2023.

Q: What is Sydney Donnelly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Sydney Donnelly was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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 May 16, 2023PECOS Enrolled

1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130(215) 235-9600(215) 684-5360 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 23, 2024, May 16, 2023 (2 updates tracked since 2023).

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About Sydney Alexis Donnelly Md NPPES

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

SYDNEY ALEXIS DONNELLY MD (NPI 1154012706) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD495573) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154012706

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSYDNEY ALEXIS DONNELLYCredential: MD

Location Address1412 FAIRMOUNT AVEPhiladelphia, PA 19130-2908

Mailing Address134 Mahogany LnKing Of Prussia, PA 19406-2169 · (610) 203-3329

Phone(215) 235-9600

Fax(215) 684-5360

Sole ProprietorNo

Enumeration DateMay 16, 2023

Last NPPES UpdateOctober 21, 20262 updates tracked since enumeration

NPPES CertifiedOctober 21, 2026

✔ NPI 1154012706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD495573

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.

1412 FAIRMOUNT AVE, Philadelphia, PA 19130

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Other Identifiers 6

Medicaid1041757320006PA

Medicaid104175732-0007PA

Medicaid1041757320003PA

Medicaid1041757320002PA

Medicaid1041757320004PA

Medicaid1041757320005PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sydney Alexis Donnelly 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19130 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.

KAREN EMILY ORZECHOWSKI MD

Student in an Organized Health Care Education/Training Program