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LUIS H. ERASO M.D.
NPI 1366487340
Internal Medicine in Philadelphia, PA

Active since June 17, 2006PECOS EnrolledAccepts Medicare Assignment
111 S 11TH ST, SUITE 6270, PHILADELPHIA, PA 19107(215) 955-4901(215) 923-0835 Get Directions Write a Review

NPPES record last updated: May 2, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Luis H. Eraso M.d. NPPES

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

LUIS H. ERASO M.D. (NPI 1366487340) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD434112) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1366487340
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameLUIS H. ERASOCredential: M.D.
Location Address111 S 11TH ST, SUITE 6270Philadelphia, PA 19107-4824
Mailing Address111 S 11th St, Suite 6270Philadelphia, PA 19107-4824
Phone(215) 955-4901
Fax(215) 923-0835
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJune 17, 2006
Last NPPES UpdateMay 2, 2012
✔ NPI 1366487340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD434112
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.

111 S 11TH ST, Philadelphia, PA 19107
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Other Identifiers 3

Medicare PIN224833PA
Medicaid102612347PA
Medicaid0267414NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Luis H. Eraso M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254356876
PECOS Enrollment IDI20110824000593
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
149 services118 patients
Initial hospital inpatient care per day, typically 50 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
92 services91 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
49 services41 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
35 services35 patients
Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
19 services18 patients
Initial hospital observation care per day, typically 50 minutes 99219
Initial hospital observation care is a service where healthcare professionals monitor your health for about 50 minutes daily. This helps them understand your condition better, plan treatment, and ensure your safety. It's a routine part of hospital care.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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.

NAVEENA BUSHAN NP
Nurse Practitioner (Acute Care)
111 S 11TH ST, SUITE 1950 GIBBON
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9207
DR. CHRISTOPHER GEORDIE ROTH M.D.
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6226
DR. BRIAN I CARR MD
Internal Medicine (Medical Oncology)
111 S 11TH ST, SUITE 4240
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8874
MARIAN FEIL CRNA
Nurse Anesthetist, Certified Registered
111 S 11TH ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 291-3096
MERRITT JOAN VANPELT MD
Emergency Medicine
111 S 11TH ST, THOMAS JEFFERSON UNIVERSITY HOSPITAL
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6844
HAROON H DURRANI MD
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6226
MRS. CELESTE O VAUGHAN-BRIGGS LCSW
Social Worker (Clinical)
111 S 11TH ST, BODINE CENTER FOR CANCER TREATMENT
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6702
MELISSA D KANG MD
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6226

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 Luis Eraso's NPI number?

The NPI number for Luis Eraso is 1366487340. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Luis Eraso located?

Luis Eraso practices at 111 S 11th St Suite 6270, Philadelphia, PA 19107. The listed phone number is (215) 955-4901.

What is Luis Eraso's specialty?

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

Is Luis Eraso enrolled in Medicare?

Yes. Luis Eraso is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Luis Eraso accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Luis Eraso 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.

Is Luis Eraso affiliated with any hospitals?

According to CMS data, Luis Eraso is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Luis Eraso was last updated on May 2, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.