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DANIELLE SANCHO-JAMES MD
NPI 1568967156
Pediatrics in Philadelphia, PA

Active since March 27, 2018PECOS Enrolled
160 E ERIE AVE, PHILADELPHIA, PA 19134(215) 427-5127 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 4, 2023, Aug 31, 2023, Apr 28, 2021 and 1 more (4 updates tracked since 2018).

About Danielle Sancho-james Md NPPES

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

DANIELLE SANCHO-JAMES MD (NPI 1568967156) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD481808) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lumberton.

NPPES Registry Identity

NPI1568967156
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDANIELLE SANCHO-JAMESCredential: MD
Location Address160 E ERIE AVEPhiladelphia, PA 19134-1011
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-1324
Phone(215) 427-5127
Sole ProprietorYes
Enumeration DateMarch 27, 2018
Last NPPES UpdateOctober 4, 20234 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
✔ NPI 1568967156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in PA · MD481808✔ Licensed in NJ · 25MA11044800
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
160 E ERIE AVE, Philadelphia, PA 19134
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Other Names 1

Former Name (1)Danielle Sancho

Secondary Practice Location 1

Location 1693 Main St Ste DLumberton, NJ 08048-5043 · Phone (609) 261-4058

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 (PECOS)

Danielle Sancho-james Md 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.

Medicare Billing Reassignments

2

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

Stc Pediatrics LLC
0.2 mi
Pediatrics
3645 N FRONT ST
Philadelphia, PA 19134
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 479 clinicians in this Medicare group
NPI 1346884574 (215) 427-5000
Advocare, LLC
14 mi
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group
NPI 1770538696 (856) 872-7055

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 19134 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 20

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

GEOFFREY LIBARNES BAJWA MD
Pediatrics (Neonatal-Perinatal Medicine)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5000
STC PEDIATRICS LLC
Pediatrics (Pediatric Allergy/Immunology)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5284
JOANNA OVERTON DO
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5000
MS. NEHA BUTT MBBS
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE, ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
PHILADELPHIA, PA 19134
Philadelphia County (923) 333-1317
CHRISTOPHER HAINES D.O.
Emergency Medicine
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5369
DR. FRASER HUNTINGTON BROWN M.D.
Radiology (Diagnostic Neuroimaging)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-3725
NORRELL KRISTIN ATKINSON MD
Pediatrics (Child Abuse Pediatrics)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5000
VICTORIA NICOLE HUDSON CRNP-PC
Nurse Practitioner
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5985

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 Danielle Sancho-james's NPI number?

The NPI number for Danielle Sancho-james is 1568967156. It was assigned to this individual provider in the NPPES registry on March 27, 2018. The provider is also known as Danielle Sancho.

Where is Danielle Sancho-james located?

Danielle Sancho-james practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (215) 427-5127.

What is Danielle Sancho-james's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Danielle Sancho-james enrolled in Medicare?

Yes. Danielle Sancho-james is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Danielle Sancho-james's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Sancho-james reassigns Medicare benefits to 2 organizations: Stc Pediatrics LLC (Philadelphia, PA) and Advocare, LLC (Marlton, 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 Danielle Sancho-james's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Danielle Sancho-james accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Danielle Sancho-james 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.

When was this NPI record last updated?

The NPPES record for Danielle Sancho-james was last updated on October 4, 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.