SUSAN M DOMCHEK MD NPI 1487695102

Internal Medicine (Medical Oncology) in Philadelphia, PA

NPI 1487695102 Individual Female Years of Experience 27 Internal Medicine Medical Oncology PECOS Enrolled Accepts Medicare Approved Payment

About SUSAN DOMCHEK

Susan Domchek is an internal medicine provider established in Philadelphia, Pennsylvania and her medical specialization is internal medicine (medical oncology) with more than 27 years of experience. She graduated from Harvard Medical School in 1995. The NPI number of Susan Domchek is 1487695102 and was assigned on June 2006. The practitioner's primary taxonomy code is 207RX0202X with license number MD417437 (PA). The provider is registered as an individual and her NPI record was last updated 11 years ago.

An internist like Susan M Domchek Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Susan Domchek is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Susan Domchek is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Hospital Of Univ Of Pennsylvania and University Medical Center Of Princeton At Plainsboro.

NPI

1487695102

Provider Name SUSAN M DOMCHEK MD
Provider Location Address3400 SPRUCE ST 15 PENN TOWER PHILADELPHIA, PA 19104
Provider Mailing Address3400 SPRUCE ST 15 PENN TOWER PHILADELPHIA, PA 19104
GenderFemale
NPI Entity TypeIndividual
Medical School NameHARVARD MEDICAL SCHOOL
Graduation Year1995
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-10-2006
Last Update Date02-08-2011


Primary Taxonomy

Taxonomy Code207RX0202X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationMedical Oncology
License No.MD417437
License StatePA
Taxonomy DescriptionAn internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Business Address

SUSAN M DOMCHEK MD
3400 SPRUCE ST
15 PENN TOWER
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-3914

Get Directions


Mailing Address

SUSAN M DOMCHEK MD
3400 SPRUCE ST
15 PENN TOWER
PHILADELPHIA, PA
ZIP 19104
Phone:



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID7315835428
PECOS Enrollment IDI20040310000015
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Susan Domchek is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
HOSPITAL OF UNIV OF PENNSYLVANIA34TH & SPRUCE STS
PHILADELPHIA, PA 19104
(215) 662-3227Acute Care Hospitals390111
UNIVERSITY MEDICAL CENTER OF PRINCETON AT PLAINSBOROONE-FIVE PLAINSBORO ROAD
PLAINSBORO, NJ 8536
(609) 853-6500Acute Care Hospitals310010

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
H07474MEDICARE UPIN (02)
0018658450001MEDICAID (05)PA
052991MEDICARE ID-TYPE UNSPECIFIED (04)PA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114924719DR. HARRY BART SMELTZ DO
Individual
Anesthesiology3400 SPRUCE ST 6 DULLES
PHILADELPHIA, PA 19104
(215) 349-8310
1366439705 ISSAM A MARDINI MD
Individual
Anesthesiology (Pain Medicine)3400 SPRUCE ST HUP-DULLES 6, ANESTHESIOLOGY DEPT
PHILADELPHIA, PA 19104
(610) 416-4145
1780673673 BARBARA A BERNHARDT MS
Individual
Genetic Counselor, MS3400 SPRUCE ST 535 MALONEY BLDG
PHILADELPHIA, PA 19104
(215) 662-4740
1932198827MS. JILL ELISE STOPFER MS
Individual
Genetic Counselor, MS3400 SPRUCE ST 2007 PENN TOWER
PHILADELPHIA, PA 19104
(215) 349-8143
1104800085MS. ROSEMARY THERESA MCMENAMIN CRNP
Individual
Nurse Practitioner (Adult Health)3400 SPRUCE ST GOUND FLOOR SILVERSTEIN
PHILADELPHIA, PA 19104
(215) 662-6963
1578541298MS. LYNN GODMILOW MSW
Individual
Genetic Counselor, MS3400 SPRUCE ST ROOM 538 MALONEY BUILDING
PHILADELPHIA, PA 19104
(215) 662-4740
1568433373DR. JAMES DAVID KOLKER MD
Individual
Radiology (Radiation Oncology)3400 SPRUCE ST
PHILADELPHIA, PA 19104
(215) 662-2428
1790757128DR. RUTH HERMAN STEINMAN M.D.
Individual
Psychiatry & Neurology (Psychiatry)3400 SPRUCE ST 2016 PENN TOWER
PHILADELPHIA, PA 19104
(215) 615-0534
1780636399 JUDITH ANNE O' DONNELL MD
Individual
Internal Medicine (Infectious Disease)3400 SPRUCE ST 3 SILVERSTEIN
PHILADELPHIA, PA 19104
(215) 662-6932
1942257068UNIVERSITY OF PENN-RAD ONC
Organization
Radiology (Radiation Oncology)3400 SPRUCE ST 2 DONNER BUILDING
PHILADELPHIA, PA 19104
(215) 662-2428
1205875705 MONICA R PAMMER PH
Individual
Physician Assistant3400 SPRUCE ST GROUNDS RHOADS PAVILION
PHILADELPHIA, PA 19104
(215) 662-6779
1477592970 WILLIAM BAXT MD
Individual
Emergency Medicine3400 SPRUCE ST GROUND SILVER STE N BLDG
PHILADELPHIA, PA 19104
(215) 662-6963
1295774701 DAVID A LENROW MD
Individual
Rehabilitation Practitioner3400 SPRUCE ST 1 GRAND WHITE BLDG
PHILADELPHIA, PA 19104
(215) 662-3261
1205877669 CHARALAMBOS I ANDREADIS MD
Individual
Internal Medicine (Medical Oncology)3400 SPRUCE ST 15 PENN TOWER
PHILADELPHIA, PA 19104
(215) 662-3914
1740221100 ROLF SCHLICHTER MD
Individual
Anesthesiology3400 SPRUCE ST 4 DULLES BUILDING
PHILADELPHIA, PA 19104
(215) 349-8310
1912948977 CHRISTOPHER JOHN LOGUE MD
Individual
Emergency Medicine3400 SPRUCE ST
PHILADELPHIA, PA 19104
(215) 662-6963
1700827581 BRETT B GUTSCHE MD
Individual
Anesthesiology3400 SPRUCE ST 4 DULLES BUILDING
PHILDELPHIA, PA 19104
(215) 349-8310
1942241641 ALISON W LOREN MD
Individual
Internal Medicine (Hematology & Oncology)3400 SPRUCE ST 15 PENN TOWER
PHILADELPHIA, PA 19104
(215) 662-3914
1174566970 CAROLYN L CAMBOR MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3400 SPRUCE ST
PHILADELPHIA, PA 19104
(215) 614-1428
1902849292 DU PONT GUERRY IV MD
Individual
Internal Medicine (Hematology)3400 SPRUCE ST 15 PENN TOWER
PHILADELPHIA, PA 19104
(215) 662-3914

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.