STEFFANY AILYN MORENO DO
NPI 1356198162
Family Medicine in Philadelphia, PA

Q: What is Steffany Moreno's NPI number?

The NPI number for Steffany Moreno is 1356198162. It was assigned to this individual provider in the NPPES registry on May 1, 2024.

Q: What is Steffany Moreno's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Steffany Moreno was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 May 01, 2024PECOS Enrolled

1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130(215) 291-2500(215) 291-2587 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 3, 2024, May 1, 2024 (2 updates tracked since 2024).

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About Steffany Ailyn Moreno Do NPPES

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

STEFFANY AILYN MORENO DO (NPI 1356198162) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OT023712) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2024).

NPPES Registry Identity

NPI1356198162

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSTEFFANY AILYN MORENOCredential: DO

Location Address1412 FAIRMOUNT AVEPhiladelphia, PA 19130-2908

Mailing Address1412 Fairmount AvePhiladelphia, PA 19130-2908 · (215) 291-2500 · Fax (215) 291-2587

Phone(215) 291-2500

Fax(215) 291-2587

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2024

Enumeration DateMay 1, 2024

Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration

NPPES CertifiedDecember 3, 2024

✔ NPI 1356198162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · OT023712

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1412 FAIRMOUNT AVE, Philadelphia, PA 19130

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Steffany Ailyn Moreno Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648766089

PECOS Enrollment IDI20260106000770

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 Steffany Moreno reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Delaware Valley Community Health, Inc.

Same address

Federally Qualified Health Center (FQHC)

1412-22 FAIRMOUNT AVE
Philadelphia, PA 19130

Reassigned Medicare billing, Pennsylvania enrollment
76 clinicians in this Medicare group

NPI 1386864502 (215) 684-5344

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 19130 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

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.

KAREN EMILY ORZECHOWSKI MD

Student in an Organized Health Care Education/Training Program