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

TEMPLE FACULTY PRACTICE PLAN INC
NPI 1235611179
Preventive Medicine - Addiction Medicine in Philadelphia, PA

Q: What is Temple Faculty Practice Plan Inc's NPI number?

The NPI number for Temple Faculty Practice Plan Inc is 1235611179. It was assigned to this organization in the NPPES registry on September 6, 2018. The provider is doing business as Temple Faculty MIC Associates.

Q: What is Temple Faculty Practice Plan Inc's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Active since September 06, 2018

3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-1622(215) 707-0943 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 23, 2026, May 29, 2025, Sep 6, 2018 (3 updates tracked since 2018).

On this page

About Temple Faculty Practice Plan Inc NPPES

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

TEMPLE FACULTY PRACTICE PLAN INC (NPI 1235611179), doing business as Temple Faculty Mic Associates, is a healthcare organization registered as an addiction medicine in Philadelphia, Pennsylvania and active in the NPI registry since September 2018. The organization maintains 5 additional practice locations and lists Tonya Woodard, Director Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1235611179

Entity TypeOrganization

Primary Taxonomy2083A0300X

Legal Business NameTEMPLE FACULTY PRACTICE PLAN INC

Location Address3401 N BROAD STPhiladelphia, PA 19140-5103

Mailing Address2450 W Hunting Park AvePhiladelphia, PA 19129-1302 · (215) 707-1622 · Fax (215) 707-0943

Phone(215) 707-1622

Fax(215) 707-0943

Organization SubpartNo

Authorized OfficialTonya WoodardDirector Revenue Cycle · (215) 707-3911

Enumeration DateSeptember 6, 2018

Last NPPES UpdateSeptember 23, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2026

✔ NPI 1235611179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083A0300X

Definition

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

Also ListedPreventive Medicine · Medical ToxicologyTaxonomy 2083T0002X

Also ListedHospitalistTaxonomy 208M00000X

3401 N BROAD ST, Philadelphia, PA 19140

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Other Names 1

Doing Business AsTemple Faculty Mic Associates

Secondary Practice Locations 5

Location 18835 Germantown AvePhiladelphia, PA 19118-2718 · Phone (215) 248-8200 · Fax (215) 753-2072

Location 23322 N Broad StPhiladelphia, PA 19140-5185 · Phone (215) 707-1622 · Fax (215) 707-0943

Location 31331 E Wyoming AvePhiladelphia, PA 19124-3808 · Phone (215) 707-1622 · Fax (215) 707-0943

Location 4333 Cottman AvePhiladelphia, PA 19111-2434 · Phone (217) 282-8444 · Fax (215) 214-1425

Location 5100 E Lehigh AvePhiladelphia, PA 19125-1012 · Phone (215) 707-1622 · Fax (215) 707-0943

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Temple Faculty Practice Plan Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,987

Medicare enrollment records show 1,987 clinicians reassign Medicare billing to Temple Faculty Practice Plan Inc, which bills Medicare for the services they deliver. Of these, 297 practice at this address and 1,579 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 62

Internal Medicine291

Nurse Practitioner227

Diagnostic Radiology143

Certified Registered Nurse Anesthetist (CRNA)136

Emergency Medicine133

Anesthesiology103

Obstetrics/Gynecology76

General Surgery65

54 other specialties813

Nearest to this location (20)

See all 1,987

Ziyodakhon Abdujabborova, MD

Internal Medicine

NPI 1699391839

3401 N BROAD ST
Philadelphia, PA 19140

(215) 707-2000

✔ PECOS✔ Accepts MedicareSame address

Morgan Adams, APRN, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1245846211

3401 N BROAD ST
Philadelphia, PA 19140

(215) 707-3326

✔ PECOS✔ Accepts MedicareSame address

Leah Ahoya, M.D.

Obstetrics/Gynecology

NPI 1831390095

3401 N BROAD ST
Philadelphia, PA 19140

(570) 790-2391

✔ PECOS✔ Accepts MedicareSame address

Temilola Akinola, M.D.

Diagnostic Radiology

NPI 1528599248

3401 N BROAD ST
Philadelphia, PA 19140

(215) 707-7237

✔ PECOSSame address

Luis Arzeno Tejada, M.D.

Endocrinology

NPI 1114311347

3401 N BROAD ST
Philadelphia, PA 19140

(215) 707-4600

✔ PECOS✔ Accepts MedicareSame address

Vincent Baldassano, MD

Ophthalmology

NPI 1326198664

3401 N BROAD ST
Philadelphia, PA 19140

(215) 707-3185

✔ PECOS✔ Accepts MedicareSame address

Artemisa Balilaj, NP

Nurse Practitioner

NPI 1487387270

3401 N BROAD ST
Philadelphia, PA 19140

(215) 707-1622

✔ PECOS✔ Accepts MedicareSame address

Eli Balshan

Pathology

NPI 1215314554

3401 N BROAD ST
Philadelphia, PA 19140

(215) 707-4353

✔ PECOS✔ Accepts MedicareSame address

Kevin Beel, MD

Family Practice

NPI 1528635877

3401 N BROAD ST
Philadelphia, PA 19140

(215) 707-1622

✔ PECOS✔ Accepts MedicareSame address

Tommie Berry, M.D.

Physical Medicine and Rehabilitation

NPI 1336567007

3401 N BROAD ST
Philadelphia, PA 19140

(215) 707-3646

✔ PECOS✔ Accepts MedicareSame address

Nicholas Bishop, MD

Emergency Medicine

NPI 1033793922

3401 N BROAD ST
Philadelphia, PA 19140

(215) 707-5030

✔ PECOS✔ Accepts MedicareSame address

Raven Boone

Infectious Disease

NPI 1134706179

3401 N BROAD ST
Philadelphia, PA 19140

(215) 707-3807

✔ PECOS✔ Accepts MedicareSame address

Petra Brayo, M.D.

Neurology

NPI 1144752023

3401 N BROAD ST
Philadelphia, PA 19140

(215) 707-3040

✔ PECOS✔ Accepts MedicareSame address

Kathleen Brennan, MD

Pulmonary Disease

NPI 1891783882

3401 N BROAD ST 7TH FLR PARKINSON PAVILION
Philadelphia, PA 19140

(215) 707-5864

✔ PECOS✔ Accepts MedicareSame address

Michael Brotspies, D.O.

Anesthesiology

NPI 1912135054

3401 N BROAD ST
Philadelphia, PA 19140

(215) 707-3326

✔ PECOS✔ Accepts MedicareSame address

Marcus Cimino, MD

Orthopedic Surgery

NPI 1760836761

3401 N BROAD ST
Philadelphia, PA 19140

(215) 707-3040

✔ PECOS✔ Accepts MedicareSame address

Joseph Franzen, MD

Critical Care (Intensivists)

NPI 1205408234

3401 N BROAD ST
Philadelphia, PA 19140

(267) 398-9336

✔ PECOS✔ Accepts MedicareSame address

Danielle Hashmi, D.O.

General Surgery

NPI 1972995389

3401 N BROAD ST
Philadelphia, PA 19140

(215) 707-3133

✔ PECOS✔ Accepts MedicareSame address

Menatallah Hassan, PA-C

Dermatology

NPI 1043181894

3401 N BROAD ST FL 5
Philadelphia, PA 19140

(800) 836-7536

✔ PECOS✔ Accepts MedicareSame address

Sanjana Kalvehalli Kashinath, M.D.

Hematology

NPI 1821470915

3401 N BROAD ST
Philadelphia, PA 19140

(215) 707-6356

✔ PECOS✔ Accepts MedicareSame address

See all 1,987 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Temple Faculty Practice Plan Inc's NPI number?

The NPI number for Temple Faculty Practice Plan Inc is 1235611179. It was assigned to this organization in the NPPES registry on September 6, 2018. The provider is doing business as Temple Faculty MIC Associates.

Where is Temple Faculty Practice Plan Inc located?

Temple Faculty Practice Plan Inc is located at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-1622.

What is Temple Faculty Practice Plan Inc's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Is Temple Faculty Practice Plan Inc enrolled in Medicare?

Yes. Temple Faculty Practice Plan Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Temple Faculty Practice Plan Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,987 clinicians in 62 Medicare specialties reassign their Medicare billing to Temple Faculty Practice Plan Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (291), Nurse Practitioner (227) and Diagnostic Radiology (143). Of these, 297 practice at this address and 1,579 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Temple Faculty Practice Plan Inc was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 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.