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ANGELINE JOHNY
NPI 1578025417
Urology in Philadelphia, PA

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
3400 CIVIC CENTER BLVD, WEST PAVILION, 3RD FLOOR, PHILADELPHIA, PA 19104(301) 503-4765 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2024, Apr 1, 2019 (2 updates tracked since 2019).

About Angeline Johny NPPES

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

ANGELINE JOHNY (NPI 1578025417) is an individual urology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD484693) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Suburban Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1578025417
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameANGELINE JOHNY
Location Address3400 CIVIC CENTER BLVD, WEST PAVILION, 3RD FLOORPhiladelphia, PA 19104-5127
Mailing Address3400 Civic Center Blvd, 3rd Floor, West PavilionPhiladelphia, PA 19104 · (301) 503-4765
Phone(301) 503-4765
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 1, 2019
Last NPPES UpdateJuly 18, 20242 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
✔ NPI 1578025417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in PA · MD484693
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angeline Johny 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 ID648712570
PECOS Enrollment IDI20240607000049, I20250412000354
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.

Hospital Affiliations CMS Care Compare 4

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

Suburban Hospital

Acute Care Hospitals · Bethesda, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210022
Location8600 Old Georgetown RoadBethesda, MD 20814 · Montgomery County
Emergency services

University Of MD Baltimore Washington Medical Center

Acute Care Hospitals · Glen Burnie, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210043
Location301 Hospital DriveGlen Burnie, MD 21061 · Anne Arundel County
Emergency services Birthing friendly

Holy Cross Germantown Hospital

Acute Care Hospitals · Germantown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210065
Location19801 Observation DriveGermantown, MD 20876 · Montgomery County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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.

PHILIPPE OLIVIER SZAPARY MD
Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-4949
UNIVERSITY OF PENNSYLVANIA
Psychiatric Unit
3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 614-1828
CAREY MCDOUGALL M.S.
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2920
KELSEY ELIZABETH SPIELMAN
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8479
STEVEN S SCHERER MD
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3606
KEITH CENGEL MD, PHD
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2428
BRIAN FRIEL MD
Urology
3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-5042
RICHARD KRISKA
Pharmacist
3400 CIVIC CENTER BLVD, ROOM 101 WEST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6260

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 Angeline Johny's NPI number?

The NPI number for Angeline Johny is 1578025417. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Angeline Johny located?

Angeline Johny practices at 3400 Civic Center Blvd West Pavilion, 3rd Floor, Philadelphia, PA 19104. The listed phone number is (301) 503-4765.

What is Angeline Johny's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Angeline Johny enrolled in Medicare?

Yes. Angeline Johny 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.

Is Angeline Johny affiliated with any hospitals?

According to CMS data, Angeline Johny is affiliated with Suburban Hospital, University Of MD Baltimore Washington Medical Center, Holy Cross Germantown Hospital and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Angeline Johny was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.