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DR. UMAIR JAVED ASHRAF M.D.
NPI 1255773396
Internal Medicine in Philadelphia, PA

Active since July 17, 2013PECOS Enrolled
245 N 15TH ST, MAIL STOP 427, PHILADELPHIA, PA 19102(215) 762-7916 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2023, Jan 12, 2023 (2 updates tracked since 2023).

About Dr. Umair Javed Ashraf M.d. NPPES

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

DR. UMAIR JAVED ASHRAF M.D. (NPI 1255773396) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT204675) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Belleville.

NPPES Registry Identity

NPI1255773396
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. UMAIR JAVED ASHRAFCredential: M.D.
Location Address245 N 15TH ST, MAIL STOP 427Philadelphia, PA 19102-1101
Mailing Address245 N 15th St, Mail Stop 427Philadelphia, PA 19102-1101 · (215) 762-7916
Phone(215) 762-7916
Sole ProprietorYes
Enumeration DateJuly 17, 2013
Last NPPES UpdateAugust 29, 20242 updates tracked since enumeration
NPPES CertifiedAugust 29, 2024
✔ NPI 1255773396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in PA · MT204675✔ Licensed in IL · 036163787✔ Licensed in IN · 01079584A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 036163787 (IL)
245 N 15TH ST, Philadelphia, PA 19102
Open in Google Maps ↗

Secondary Practice Location 1

Location 14500 Memorial DrBelleville, IL 62226-5360 · Phone (618) 257-6220

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Umair Javed Ashraf 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.

Medicare Billing Reassignment

Medicare enrollment records show Umair Ashraf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fairview Heights Medical Group, Sc
824 mi
Internal Medicine
670 MASON RIDGE CENTER DR, STE 300
Saint Louis, MO 63141
  • Reassigned Medicare billing, Illinois enrollment
  • 507 clinicians in this Medicare group
NPI 1811392210 (314) 996-7644

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 19102 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.

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.

TIRUMALA LAKSHMI KUMARI PENTAKOTA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
245 N 15TH ST, MAIL STOP 435
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-1179
ANDREI PLAGOV M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
245 N 15TH ST, MS 435
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-1673
DR. BRIANNE GILIBERTO D.O.
Emergency Medicine
245 N 15TH ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-2365
DR. VADIM KEYFES M.D.
Emergency Medicine
245 N 15TH ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-2365
VIOLETA R GAMARRA MD
Pathology (Anatomic Pathology & Clinical Pathology)
245 N 15TH ST, MS 435
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-8873
DR. CHRISTOPHER SCOTT BODDEN MD
Internal Medicine
245 N 15TH ST, 6TH FLOOR, MS 427
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-7916
DREXEL COLLEGE OF MEDICINE
General Acute Care Hospital (Critical Access)
245 N 15TH ST
PHILA, PA 19102
Philadelphia County (215) 762-4984
LAUREN SCHMALZ MD
Internal Medicine
245 N 15TH ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-7000

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 Umair Ashraf's NPI number?

The NPI number for Umair Ashraf is 1255773396. It was assigned to this individual provider in the NPPES registry on July 17, 2013.

Where is Umair Ashraf located?

Umair Ashraf practices at 245 N 15th St Mail Stop 427, Philadelphia, PA 19102. The listed phone number is (215) 762-7916.

What is Umair Ashraf's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Umair Ashraf enrolled in Medicare?

Yes. Umair Ashraf is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Umair Ashraf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Umair Ashraf reassigns Medicare benefits to Fairview Heights Medical Group, Sc (Saint Louis, MO). The 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 Umair Ashraf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Umair Ashraf accept?

Health plans from CareSource list Umair Ashraf as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Umair Ashraf was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.