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FAIR HILL COMMUNITY PHYSICIANS
NPI 1457049439
Clinic/Center - Federally Qualified Health Center (FQHC) in Philadelphia, PA

Active since April 27, 2023
133 W HUNTING PARK AVE, PHILADELPHIA, PA 19140(215) 324-0600(215) 324-2795 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 1, 2026, May 13, 2026, Apr 15, 2026 and 1 more (4 updates tracked since 2023).

About Fair Hill Community Physicians NPPES

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

FAIR HILL COMMUNITY PHYSICIANS (NPI 1457049439) is a healthcare organization registered as a federally qualified health center (fqhc) in Philadelphia, Pennsylvania and active in the NPI registry since April 2023. The organization maintains 4 additional practice locations and lists Kera Green, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1457049439
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameFAIR HILL COMMUNITY PHYSICIANS
Location Address133 W HUNTING PARK AVEPhiladelphia, PA 19140-2717
Mailing Address100 E Lehigh AvePhiladelphia, PA 19125-1012 · (267) 264-4669 · Fax (215) 707-0071
Phone(215) 324-0600
Fax(215) 324-2795
Organization SubpartNo
Authorized OfficialKera GreenCredentialing Manager · (267) 264-4669
Enumeration DateApril 27, 2023
Last NPPES UpdateJune 25, 20264 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
✔ NPI 1457049439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
133 W HUNTING PARK AVE, Philadelphia, PA 19140
Open in Google Maps ↗

Secondary Practice Locations 4

Location 12301 E Allegheny Ave Ste 150Philadelphia, PA 19134-4427 · Phone (215) 926-3535
Location 2100 E Lehigh AvePhiladelphia, PA 19125-1012 · Phone (215) 324-0600 · Fax (215) 324-2795
Location 31300 W Lehigh AvePhiladelphia, PA 19132-2760 · Phone (215) 324-0600 · Fax (215) 324-2795
Location 44350 Germantown AvePhiladelphia, PA 19140-1749 · Phone (215) 324-0600 · Fax (215) 324-2795

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fair Hill Community Physicians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

23

Medicare enrollment records show 23 clinicians reassign Medicare billing to Fair Hill Community Physicians, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 21 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Family Practice9
Internal Medicine6
Nurse Practitioner4
Clinical Social Worker2
General Practice1
Pediatric Medicine1

Nearest to this location (20)

See all 23
Elizabeth Carazo, M.D.
Internal Medicine
NPI 1629293220
133 W HUNTING PARK AVE SUITE 300A
Philadelphia, PA 19140
(215) 324-0600
✔ PECOS✔ Accepts MedicareSame address
Maribel Toro-Troche, MD
Pediatric Medicine
NPI 1346226974
133 W HUNTING PARK AVE SUITE 300B
Philadelphia, PA 19140
(215) 324-0600
✔ PECOSSame address
Joshua George, DO
Family Practice
NPI 1003494212
133 W HUNTING PARK AVE
Philadelphia, PA 19140
(215) 324-0600
✔ PECOS✔ Accepts Medicare0.1 mi
Rene Kessler
Family Practice
NPI 1356909329
133 W HUNTING PARK AVE STE 300A
Philadelphia, PA 19140
(215) 324-0600
✔ PECOS✔ Accepts Medicare0.1 mi
Christina Boras, MD
Family Practice
NPI 1326733007
1316 W ONTARIO ST
Philadelphia, PA 19140
(215) 707-2400
✔ PECOS✔ Accepts Medicare1.4 mi
Hirva Bakeri, M.D.
Internal Medicine
NPI 1154718344
3401 N BROAD ST
Philadelphia, PA 19140
(800) 836-7536
✔ PECOS✔ Accepts Medicare1.4 mi
Patrick Gray, MD
Internal Medicine
NPI 1881044600
3401 N BROAD ST
Philadelphia, PA 19140
(215) 707-1622
✔ PECOS✔ Accepts Medicare1.4 mi
Kelly Hughes
Internal Medicine
NPI 1396233318
3401 N BROAD ST
Philadelphia, PA 19140
(215) 707-1622
✔ PECOS✔ Accepts Medicare1.4 mi
Dolly Patel
Internal Medicine
NPI 1013667369
3401 N BROAD ST
Philadelphia, PA 19140
(215) 707-1622
✔ PECOS✔ Accepts Medicare1.4 mi
Sophia Desrosiers
Family Practice
NPI 1104403062
1316 W ONTARIO ST # A
Philadelphia, PA 19140
(215) 707-2400
✔ PECOS✔ Accepts Medicare1.4 mi
Alanna Ticali
Family Practice
NPI 1326625161
1316 W ONTARIO ST
Philadelphia, PA 19140
(215) 707-2400
✔ PECOS✔ Accepts Medicare1.4 mi
David Gonzalez, DO
Internal Medicine
NPI 1164059697
3401 N BROAD ST
Philadelphia, PA 19140
(215) 707-1622
✔ PECOS✔ Accepts Medicare1.5 mi
Delana Wardlaw, MD
Family Practice
NPI 1851489405
4350 GERMANTOWN AVE SUITE 1
Philadelphia, PA 19140
(215) 324-0500
✔ PECOS✔ Accepts Medicare1.6 mi
Gabriel Sanchez-Aldana, M.D.
Family Practice
NPI 1013025865
100 E LEHIGH AVE
Philadelphia, PA 19125
(215) 707-1866
✔ PECOS✔ Accepts Medicare1.7 mi
Ramcel Quien, MD
Family Practice
NPI 1932153467
100 E LEHIGH AVE CHC-1 EAST
Phila, PA 19125
(215) 707-0070
✔ PECOS1.8 mi
Anthony Luistro, MD
Family Practice
NPI 1396922076
1300 W LEHIGH AVE STE A
Philadelphia, PA 19132
(215) 226-8800
✔ PECOS✔ Accepts Medicare2.0 mi
Gwendolyn Davis, LCSW, PHD
Clinical Social Worker
NPI 1225989189
1300 W LEHIGH AVE
Philadelphia, PA 19132
(215) 226-8800
✔ PECOS2.0 mi
Nimidia Oviedo, M.D.
General Practice
NPI 1770592438
136 DIAMOND ST
Philadelphia, PA 19122
(215) 426-8100
✔ PECOS✔ Accepts Medicare2.3 mi
Amy Isabelle, FNP-BC
Nurse Practitioner
NPI 1568084093
125 S 9TH ST
Philadelphia, PA 19107
(215) 592-4500
✔ PECOS✔ Accepts Medicare4.4 mi
Vanessa Molin, CRNP
Nurse Practitioner
NPI 1760951131
7515 STENTON AVE
Philadelphia, PA 19150
(267) 335-5264
✔ PECOS✔ Accepts Medicare5.1 mi
See all 23 clinicians

Source: 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 Fair Hill Community Physicians's NPI number?

The NPI number for Fair Hill Community Physicians is 1457049439. It was assigned to this organization in the NPPES registry on April 27, 2023.

Where is Fair Hill Community Physicians located?

Fair Hill Community Physicians is located at 133 W Hunting Park Ave, Philadelphia, PA 19140. The listed phone number is (215) 324-0600.

What is Fair Hill Community Physicians's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Fair Hill Community Physicians enrolled in Medicare?

Yes. Fair Hill Community Physicians is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fair Hill Community Physicians?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 6 Medicare specialties reassign their Medicare billing to Fair Hill Community Physicians. 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 (9), Internal Medicine (6) and Nurse Practitioner (4). Of these, 2 practice at this address and 21 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 Fair Hill Community Physicians was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.