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VICTOR J. NAVARRO M.D.
NPI 1407815236
Internal Medicine - Gastroenterology in Philadelphia, PA

Active since March 21, 2006PECOS EnrolledAccepts Medicare Assignment
5401 OLD YORK RD, KLEIN SUITE 505, PHILADELPHIA, PA 19141(215) 456-8242(215) 456-8058 Get Directions Write a Review

NPPES record last updated: February 20, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Victor J. Navarro M.d. NPPES

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

VICTOR J. NAVARRO M.D. (NPI 1407815236) is an individual gastroenterology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD041828L) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and is a graduate of Pennsylvania State University College Of Medicine (1988).

NPPES Registry Identity

NPI1407815236
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameVICTOR J. NAVARROCredential: M.D.
Location Address5401 OLD YORK RD, KLEIN SUITE 505Philadelphia, PA 19141-3030
Mailing Address5401 Old York Rd, Klein Suite 505Philadelphia, PA 19141-3030 · (215) 456-8242 · Fax (215) 456-8058
Phone(215) 456-8242
Fax(215) 456-8058
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1988
Enumeration DateMarch 21, 2006
Last NPPES UpdateFebruary 20, 2015
✔ NPI 1407815236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in PA · MD041828L
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
5401 OLD YORK RD, Philadelphia, PA 19141
Open in Google Maps ↗

Other Identifiers 5

Medicaid0012394030001PA
Medicare UPINE79561
Medicaid2301601NJ
Medicare PIN104742NJ
Medicare PIN664365PA

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Victor J. Navarro 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 ID3577588284
PECOS Enrollment IDI20051012000224, I20120606000093
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

2

Medicare enrollment records show Victor Navarro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Einstein Practice Plan Inc
Same address
Transplant Surgery
5401 OLD YORK ROAD, SUITE 509
Philadelphia, PA 19141
  • Reassigned Medicare billing, Pennsylvania and Delaware enrollments
  • Also billed through NPI 1679525372 (Delaware)
  • 1,205 clinicians in this Medicare group
NPI 1013969690 (215) 456-4985
Network Physicians Of New Jersey PC
16 mi
Neurology
443 LAUREL OAK RD, SUITE 200
Voorhees, NJ 08043
  • Reassigned Medicare billing, New Jersey enrollment
  • 4 clinicians in this Medicare group
NPI 1891748398 (215) 456-4985

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 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.
59 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
40 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims330 services$0.33 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers14 claims1,496 services$0.20 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers15 claims16 services$12.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MORTON S MANDELL M.D.
Internal Medicine (Cardiovascular Disease)
5401 OLD YORK RD, KLEIN BUILDING, SUITE 401
PHILADELPHIA, PA 19141
Philadelphia County (215) 329-0633
SHAHRIAR YAZDANFAR MD
Internal Medicine (Cardiovascular Disease)
5401 OLD YORK RD, KLEIN 404
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7266
DR. SARAH PERLOFF D.O.
Internal Medicine (Infectious Disease)
5401 OLD YORK RD, KLEIN BLDG. SUITE 331
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6948
CHARLOTTA SWAIN CRNP
Nurse Practitioner (Obstetrics & Gynecology)
5401 OLD YORK RD, SUITE 400
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-3440
TAMIA MATTHEWS CRNP
Internal Medicine
5401 OLD YORK RD, KLEIN363
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6417
RENEE WYNN CRNP
Nurse Practitioner (Women's Health)
5401 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-8220
TAQI FT KHAN MD
Transplant Surgery
5401 OLD YORK RD, KLEIN BLDG STE 509
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-4985
EINSTEIN PRACTICE PLAN, INC.
Ophthalmology
5401 OLD YORK RD, SUITE 201
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7150

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 Victor Navarro's NPI number?

The NPI number for Victor Navarro is 1407815236. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is Victor Navarro located?

Victor Navarro practices at 5401 Old York Rd Klein Suite 505, Philadelphia, PA 19141. The listed phone number is (215) 456-8242.

What is Victor Navarro's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Victor Navarro enrolled in Medicare?

Yes. Victor Navarro 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 Victor Navarro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victor Navarro reassigns Medicare benefits to 2 organizations: Einstein Practice Plan Inc (Philadelphia, PA) and Network Physicians Of New Jersey PC (Voorhees, 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 Victor Navarro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Victor Navarro accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Victor Navarro 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 Victor Navarro affiliated with any hospitals?

According to CMS data, Victor Navarro is affiliated with Albert Einstein Medical Center.

When was this NPI record last updated?

The NPPES record for Victor Navarro was last updated on February 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.