1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Pediatrics
  6. NPI Profile

AJIT MAMMEN M.B.B.S.
NPI 1417147646
Pediatrics - Pediatric Critical Care Medicine in Philadelphia, PA

Active since July 25, 2007PECOS Enrolled
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PA 19104(215) 590-1000(215) 590-2204 Get Directions Write a Review

NPPES record last updated: July 25, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ajit Mammen M.b.b.s. NPPES

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

AJIT MAMMEN M.B.B.S. (NPI 1417147646) is an individual pediatric critical care medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD432238) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417147646
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameAJIT MAMMENCredential: M.B.B.S.
Location Address34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIAPhiladelphia, PA 19104-4399
Mailing Address3535 Market St, 12th Floor, Suite 1220 - Chop Dept Of MsaPhiladelphia, PA 19104-3309 · (215) 590-4670 · Fax (215) 590-2204
Phone(215) 590-1000
Fax(215) 590-2204
Sole ProprietorNo
Enumeration DateJuly 25, 2007
✔ NPI 1417147646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in PA · MD432238
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
34TH & CIVIC CENTER BLVD, Philadelphia, PA 19104
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ajit Mammen M.b.b.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MARK RIZZI M.D.
Otolaryngology
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-3440
BRIAN LESTINI M.D.
Pediatrics (Pediatric Hematology-Oncology)
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
PATRICK JOHN CAHILL MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1527
STEPHANIE FULLER M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2708
DR. CHERIE D FOSTER MD
Pediatrics (Neonatal-Perinatal Medicine)
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
BONNIE L SERLETTI MD
Obstetrics & Gynecology
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2730
DR. THEODORE J GANLEY M.D.
Orthopaedic Surgery
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1527
JOHN TODD RUTTER LAWRENCE M.D./PH.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1527

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 Ajit Mammen's NPI number?

The NPI number for Ajit Mammen is 1417147646. It was assigned to this individual provider in the NPPES registry on July 25, 2007.

Where is Ajit Mammen located?

Ajit Mammen practices at 34th & Civic Center Blvd Children's Hospital Of Philadelphia, Philadelphia, PA 19104. The listed phone number is (215) 590-1000.

What is Ajit Mammen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Ajit Mammen enrolled in Medicare?

Yes. Ajit Mammen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ajit Mammen was last updated on July 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.