DEDICATED PENNSYLVANIA HOLDING, LLC
NPI 1366950776
Specialist in Philadelphia, PA
About Dedicated Pennsylvania Holding, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEDICATED PENNSYLVANIA HOLDING, LLC (NPI 1366950776) is a healthcare organization registered as a specialist in Philadelphia, Pennsylvania and active in the NPI registry since January 2018. The organization lists Mary Chen, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dedicated Pennsylvania Holding, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
58Medicare enrollment records show 58 clinicians reassign Medicare billing to Dedicated Pennsylvania Holding, LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 40 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 58Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Dedicated Pennsylvania Holding, LLC's NPI number?
The NPI number for Dedicated Pennsylvania Holding, LLC is 1366950776. It was assigned to this organization in the NPPES registry on January 19, 2018.
Where is Dedicated Pennsylvania Holding, LLC located?
Dedicated Pennsylvania Holding, LLC is located at 5675 N. Front Strreet Suite 141, Philadelphia, PA 19120. The listed phone number is (305) 628-6117.
What is Dedicated Pennsylvania Holding, LLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Dedicated Pennsylvania Holding, LLC enrolled in Medicare?
Yes. Dedicated Pennsylvania Holding, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dedicated Pennsylvania Holding, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 58 clinicians in 6 Medicare specialties reassign their Medicare billing to Dedicated Pennsylvania Holding, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (24), Internal Medicine (23) and Nurse Practitioner (8). Of these, 7 practice at this address and 40 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dedicated Pennsylvania Holding, LLC was last updated on October 31, 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.
# Dedicated Pennsylvania Holding, Llc · NPI 1366950776
Specialist organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since January 19, 2018.
## Identity
- **NPI:** 1366950776 (Entity type: Organization)
- **Enumerated:** January 19, 2018
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Mary Chen, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 5675 N. FRONT STRREET, SUITE 141, Philadelphia, PA 19120-1910
- **Phone:** (305) 628-6117 · **Fax:** (305) 363-5989
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 58 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (24), Internal Medicine (23), Nurse Practitioner (8); 7 practice at this address and 40 within 10 miles; [full list](https://npiprofile.com/npi/1366950776/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1366950776) · Data from the CMS NPPES public registry.