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DR. JAKE ALDEN KUSHNER M.D.
NPI 1265485379
Pediatrics - Pediatric Endocrinology in Philadelphia, PA

Active since May 18, 2006PECOS Enrolled
3615 CIVIC CENTER BLVD, CHOP ENDOCRINE, ARC 802C, PHILADELPHIA, PA 19104(267) 426-5717(215) 590-1605 Get Directions Write a Review

NPPES record last updated: May 23, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jake Alden Kushner M.d. NPPES

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

DR. JAKE ALDEN KUSHNER M.D. (NPI 1265485379) is an individual pediatric endocrinology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD423023) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265485379
Entity TypeIndividualMale
Primary Taxonomy2080P0205X
Provider Legal NameDR. JAKE ALDEN KUSHNERCredential: M.D.
Location Address3615 CIVIC CENTER BLVD, CHOP ENDOCRINE, ARC 802CPhiladelphia, PA 19104-4318
Mailing Address3615 Civic Center Blvd, Chop Endocrine, Arc 802cPhiladelphia, PA 19104-4318 · (267) 426-5717 · Fax (215) 590-1605
Phone(267) 426-5717
Fax(215) 590-1605
Sole ProprietorNo
Enumeration DateMay 18, 2006
Last NPPES UpdateMay 23, 2012
✔ NPI 1265485379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License✔ Licensed in PA · MD423023
Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

Also ListedPediatricsTaxonomy 208000000X · License MD423023 (PA)
3615 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jake Alden Kushner 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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 13

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

ALYSSA LEE RIPPERT
Genetic Counselor, MS
3615 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (610) 764-4790
FUMIN LIN PHD
Specialist/Technologist, Other (Geneticist, Medical (PhD))
3615 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (765) 337-1390
EMMA BEDOUKIAN
Genetic Counselor, MS
3615 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (267) 426-7029
LAURA SALDANA
Student in an Organized Health Care Education/Training Program
3615 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (267) 438-5867
SUSAN E WARRINGTON PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3615 CIVIC CENTER BLVD, DEPARTMENT OF PHARMACY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-0143
MS. JENNIFER MARIE TARPINIAN M.S., C.G.C.
Genetic Counselor, MS
3615 CIVIC CENTER BLVD, SUITE 1008
PHILADELPHIA, PA 19104
Philadelphia County (718) 780-5799
STACY WOYCIECHOWSKI MS CGC
Genetic Counselor, MS
3615 CIVIC CENTER BLVD, ARC RM. 703E
PHILADELPHIA, PA 19104
Philadelphia County (267) 426-7484
SARAH ELIZABETH NOON MS, LCGC
Genetic Counselor, MS
3615 CIVIC CENTER BLVD, ABRAMSON RESEARCH CENTER, RM 1008
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4248

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 Jake Kushner's NPI number?

The NPI number for Jake Kushner is 1265485379. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Jake Kushner located?

Jake Kushner practices at 3615 Civic Center Blvd Chop Endocrine, Arc 802C, Philadelphia, PA 19104. The listed phone number is (267) 426-5717.

What is Jake Kushner's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Jake Kushner enrolled in Medicare?

Yes. Jake Kushner is registered in the Medicare PECOS enrollment system.

What insurance does Jake Kushner accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Molina Healthcare list Jake Kushner 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 Jake Kushner was last updated on May 23, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.