CARDIOLOGY CONSULTANTS OF PHILADELPHIA @ JEFFERSON
NPI 1356890420
Internal Medicine - Cardiovascular Disease in Philadelphia, PA

NPI Status: Active since September 29, 2016

Contact Information

1703 S BROAD ST STE 300
PHILADELPHIA, PA
ZIP 19148
Phone: (215) 463-5333
Fax: (215) 463-8085

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease
  • CLIA Number: 39D0683469
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-15-2027

About CARDIOLOGY CONSULTANTS OF PHILADELPHIA @ JEFFERSON

This page provides the complete NPI Profile along with additional information for Cardiology Consultants Of Philadelphia @ Jefferson, an internist established in Philadelphia, Pennsylvania operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1356890420 assigned on September 2016. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Cardiology Consultants Of Philadelphia @ Jefferson. The authorized official of this NPI record is Hristos Ristas (Vp Of Contracting)

NPI
1356890420
Provider Legal Name
METHODIST ASSOCIATES IN HEALTHCARE, INC.
Other Organization Name
CARDIOLOGY CONSULTANTS OF PHILADELPHIA @ JEFFERSON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1703 S BROAD ST STE 300 PHILADELPHIA, PA 19148
Location Phone
(215) 463-5333
Location Fax
(215) 463-8085
Mailing Address
PO BOX 828937 PHILADELPHIA, PA 19182
Mailing Phone
(215) 503-1240
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-29-2016
Last Update Date
10-14-2022
Code Navigator

An internist like Cardiology Consultants Of Philadelphia @ Jefferson is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RC0001XAllopathic & Osteopathic Physicians

Internal Medicine
Clinical Cardiac Electrophysiology

 
2207RI0011XAllopathic & Osteopathic Physicians

Internal Medicine
Interventional Cardiology

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HRISTOS RISTAS

Authorized Official Title
VP OF CONTRACTING
Authorized Official Phone
(215) 955-9298

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0015365150029MEDICAID (05)PA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D0683469
Facility Type
Physician Office
Certificate Effective Date
January 16, 2025
Certificate Expiration Date
January 15, 2027
Laboratory Director
PASQUALE PROCACCI MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cardiology Consultants Of Philadelphia @ Jefferson to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CARDIOLOGY CONSULTANTS OF PHILADELPHIA @ JEFFERSON

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1356890420
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23106169044
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 1 + 6 + 9 + 0 + 4 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1356890420 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

CARDIOLOGY CONSULTANTS OF PHILADELPHIA, P.C.

Internal Medicine

(Cardiovascular Disease)

1703 S BROAD ST STE 300
PHILADELPHIA, PA
ZIP 19148

(215) 463-5333

KELSY MAE HOPKINS

Physician Assistant

(Medical)

1703 S BROAD ST STE 300
PHILADELPHIA, PA
ZIP 19148

(215) 463-5333

METHODIST ASSOCIATES IN HEALTHCARE HEART STATION

Internal Medicine

(Cardiovascular Disease)

1703 S BROAD ST STE 300
PHILADELPHIA, PA
ZIP 19148

(215) 463-5333

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356890420, enumerated in the NPI registry as an "organization" on September 29, 2016

The provider is located at 1703 S Broad St Ste 300 Philadelphia, Pa 19148 and the phone number is (215) 463-5333

This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 39D0683469 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on September 29, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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