DAVID L FELLENBAUM PAC
NPI 1184707895
Internal Medicine - Nephrology in Philadelphia, PA

Q: What is David Fellenbaum's NPI number?

The NPI number for David Fellenbaum is 1184707895. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Q: What is David Fellenbaum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for David Fellenbaum was last updated on September 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 October 24, 2006PECOS Enrolled

88.34/100

CMS Quality Rating

235 N BROAD ST, SUITE 200 CLINICAL NEPHROLOGY ASSOC, PHILADELPHIA, PA 19107(215) 762-7785(215) 568-6007 Get Directions Write a Review

NPPES record last updated: September 21, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About David L Fellenbaum Pac NPPES

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

DAVID L FELLENBAUM PAC (NPI 1184707895) is an individual nephrology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MH000179L) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184707895

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDAVID L FELLENBAUMCredential: PAC

Location Address235 N BROAD ST, SUITE 200 CLINICAL NEPHROLOGY ASSOCPhiladelphia, PA 19107-1511

Mailing Address235 N Broad St, Suite 200Philadelphia, PA 19107-1511 · (215) 762-7785 · Fax (215) 568-6007

Phone(215) 762-7785

Fax(215) 568-6007

Sole ProprietorNo

Enumeration DateOctober 24, 2006

Last NPPES UpdateSeptember 21, 2010

✔ NPI 1184707895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in PA · MH000179L

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

235 N BROAD ST, Philadelphia, PA 19107

Open in Google Maps ↗

Other Identifiers 2

Medicare UPINS63524

Medicare ID-Type Unspecified017998PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David L Fellenbaum Pac 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 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.34/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.15

Promoting Interoperability

Improvement Activities

Cost

72.92

Other Providers at the Same Location NPPES 12

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

NAITALI MIGLANI

Podiatrist (Foot & Ankle Surgery)

235 N BROAD ST
PHILADELPHIA, PA 19107

Philadelphia County (847) 754-7001

METROPOLITAN NEPHROLOGY ASSOCIATES, PC

Clinic/Center (Ambulatory Surgical)

235 N BROAD ST, SUITE 100
PHILADELPHIA, PA 19107

Philadelphia County (215) 568-6822

JOHN F SHULMAN MD

Internal Medicine (Nephrology)

235 N BROAD ST, SUITE 200 CLINICAL NEPHROLOGY ASSOC
PHILADELPHIA, PA 19107

Philadelphia County (215) 762-7785

CHARLES JONATHAN LYERLY DPM

Podiatrist (Foot & Ankle Surgery)

235 N BROAD ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 568-3510

JOSEPH H BREZIN MD

Internal Medicine (Nephrology)

235 N BROAD ST, SUITE 200 CLINICAL NEPHROLOGY ASSOCIATES
PHILADELPHIA, PA 19107

Philadelphia County (215) 762-7785

METROVASCULAR, LLC

Clinic/Center (Ambulatory Surgical)

235 N BROAD ST, SUITE 100
PHILADELPHIA, PA 19107

Philadelphia County (215) 568-6822

CLINICAL NEPHROLOGY ASSOC INC PC

Clinic/Center (Ambulatory Surgical)

235 N BROAD ST, SUITE 100
PHILADELPHIA, PA 19107

Philadelphia County (215) 568-6822

MARIA MENDEZ MD

Internal Medicine (Nephrology)

235 N BROAD ST, SUITE 200 CLINICAL NEPHROLOGY ASSOC
PHILADELPHIA, PA 19107

Philadelphia County (215) 762-7785

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 David Fellenbaum's NPI number?

The NPI number for David Fellenbaum is 1184707895. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is David Fellenbaum located?

David Fellenbaum practices at 235 N Broad St Suite 200 Clinical Nephrology Assoc, Philadelphia, PA 19107. The listed phone number is (215) 762-7785.

What is David Fellenbaum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is David Fellenbaum enrolled in Medicare?

Yes. David Fellenbaum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Fellenbaum was last updated on September 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.