DR. DEBORAH NILES MD FAAFP
NPI 1376569715
Family Medicine in Philadelphia, PA

Active since July 15, 2006PECOS EnrolledAccepts Medicare Assignment
1575 N 52ND ST STE S-3, PHILADELPHIA, PA 19131(267) 930-4858(267) 299-6270 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 11, 2023, Nov 2, 2016 (2 updates tracked since 2016).

About Dr. Deborah Niles Md Faafp NPPES

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

DR. DEBORAH NILES MD FAAFP (NPI 1376569715) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD070917L) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (1991).

NPPES Registry Identity

NPI1376569715
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DEBORAH NILESCredential: MD FAAFP
Location Address1575 N 52ND ST STE S-3Philadelphia, PA 19131-4736
Mailing Address1575 N 52nd St Ste S-3Philadelphia, PA 19131-4736 · (267) 930-4858 · Fax (267) 299-6270
Fax(267) 299-6270
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 1991
Enumeration DateJuly 15, 2006
Last NPPES UpdateJanuary 11, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2023
✔ NPI 1376569715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · MD070917L✔ Licensed in NJ · 25MA06826500
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.
1575 N 52ND ST STE S-3, Philadelphia, PA 19131

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Deborah Niles Md Faafp 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 ID3072744143
PECOS Enrollment IDI20221222001159, I20250123001047
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 Reassignments

3

Medicare enrollment records show Deborah Niles reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1575 N 52ND ST STE S-3
Philadelphia, PA 19131
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 58 clinicians in this Medicare group
General Practice
2250 HICKORY RD STE 140
Plymouth Meeting, PA 19462
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 14 clinicians in this Medicare group
General Practice
1220 TILTON RD
Northfield, NJ 08225
  • Reassigned Medicare billing, New Jersey enrollment
  • 10 clinicians in this Medicare group

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 19131 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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1575 N 52ND ST STE S-3
PHILADELPHIA, PA 19131
Family Medicine
1575 N 52ND ST STE S-3
PHILADELPHIA, PA 19131
Podiatrist (Primary Podiatric Medicine)
1575 N 52ND ST STE S-3
PHILADELPHIA, PA 19131
Family Medicine
1575 N 52ND ST STE S-3
PHILADELPHIA, PA 19131
Internal Medicine
1575 N 52ND ST STE S-3
PHILADELPHIA, PA 19131
Internal Medicine
1575 N 52ND ST STE S-3
PHILADELPHIA, PA 19131
Internal Medicine
1575 N 52ND ST STE S-3
PHILADELPHIA, PA 19131

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 Deborah Niles's NPI number?

The NPI number for Deborah Niles is 1376569715. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Deborah Niles located?

Deborah Niles practices at 1575 N 52nd St Ste S-3, Philadelphia, PA 19131. The listed phone number is (267) 930-4858.

What is Deborah Niles's specialty?

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

Is Deborah Niles enrolled in Medicare?

Yes. Deborah Niles 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.

Which organizations bill Medicare for Deborah Niles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deborah Niles reassigns Medicare benefits to 3 organizations: Dedicated Pennsylvania Holding, LLC (Philadelphia, PA), Restore First Health Penn (Plymouth Meeting, PA) and Harkaway LLC (Northfield, NJ). Each 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 Deborah Niles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Deborah Niles was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.