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DR. ANDREW HARVEY WALTERSDORF DO
NPI 1346094364
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 16, 2024PECOS Enrolled
4190 CITY AVE, PHILADELPHIA, PA 19131(215) 871-6694 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Andrew Harvey Waltersdorf Do NPPES

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

DR. ANDREW HARVEY WALTERSDORF DO (NPI 1346094364) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346094364
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ANDREW HARVEY WALTERSDORFCredential: DO
Location Address4190 CITY AVEPhiladelphia, PA 19131-1626
Mailing Address405 Evert DrCary, NC 27511-6111
Phone(215) 871-6694
Sole ProprietorNo
Enumeration DateApril 16, 2024
NPPES CertifiedApril 16, 2024
✔ NPI 1346094364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4190 CITY AVE, Philadelphia, PA 19131
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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. Andrew Harvey Waltersdorf Do 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.

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.

ZEEL HEMANTBHAI PATEL M.B.B.S
Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6690
DR. LAUREN NOTO BELL D.O.
Neuromusculoskeletal Medicine & OMM
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6425
DR. ANDREW JOSEPH SZABO D.O.
Surgery
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6690
DR. STEPHEN CHARLES SIZER D.O.
Orthopaedic Surgery
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6693
DR. SVETLANA FELDMAN
Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6693
MAREN LEIGH DOWNING DO
Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (803) 587-9327
ENT R NET, P A
Otolaryngology
4190 CITY AVE, SUITE 526
PHILADELPHIA, PA 19131
Philadelphia County (215) 879-0060
DR. LEE ANN BRODZIK D.O.
Pediatrics
4190 CITY AVE, SUITE 540
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-1800

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 Andrew Waltersdorf's NPI number?

The NPI number for Andrew Waltersdorf is 1346094364. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Where is Andrew Waltersdorf located?

Andrew Waltersdorf practices at 4190 City Ave, Philadelphia, PA 19131. The listed phone number is (215) 871-6694.

What is Andrew Waltersdorf's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Andrew Waltersdorf enrolled in Medicare?

Yes. Andrew Waltersdorf is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Waltersdorf was last updated on April 16, 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.