HEDY LYDIA SIEDARTA
NPI 1659091437
Nurse Practitioner - Primary Care in Philadelphia, PA

Active since August 31, 2022PECOS EnrolledAccepts Medicare Assignment
6232 MARKET ST, PHILADELPHIA, PA 19139(215) 383-0191 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Hedy Lydia Siedarta NPPES

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

HEDY LYDIA SIEDARTA (NPI 1659091437) is an individual primary care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP026217) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1659091437
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameHEDY LYDIA SIEDARTA
Location Address6232 MARKET STPhiladelphia, PA 19139-2922
Mailing Address1800 S 13th StPhiladelphia, PA 19148-2126 · (267) 467-0409
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 31, 2022
Last NPPES UpdateSeptember 1, 2022
NPPES CertifiedSeptember 1, 2022
NPI 1659091437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in PA · SP026217
Also ListedNurse PractitionerTaxonomy 363L00000X · License SP026217 (PA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License SP026217 (PA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License SP026217 (PA)
6232 MARKET ST, Philadelphia, PA 19139

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

Hedy Lydia Siedarta 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 ID4284019894
PECOS Enrollment IDI20220919001375
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19139 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 11

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

Nurse Practitioner (Family)
6232 MARKET ST
PHILADELPHIA, PA 19139
Family Medicine
6232 MARKET ST
PHILADELPHIA, PA 19139
Internal Medicine
6232 MARKET ST
PHILADELPHIA, PA 19139
Internal Medicine
6232 MARKET ST
PHILADELPHIA, PA 19139
Internal Medicine
6232 MARKET ST
PHILADELPHIA, PA 19139
Nurse Practitioner (Gerontology)
6232 MARKET ST
PHILADELPHIA, PA 19139
Social Worker (Clinical)
6232 MARKET ST
PHILADELPHIA, PA 19139
Internal Medicine
6232 MARKET ST
PHILADELPHIA, PA 19139

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 Hedy Siedarta's NPI number?

The NPI number for Hedy Siedarta is 1659091437. It was assigned to this individual provider in the NPPES registry on August 31, 2022.

Where is Hedy Siedarta located?

Hedy Siedarta practices at 6232 Market St, Philadelphia, PA 19139. The listed phone number is (215) 383-0191.

What is Hedy Siedarta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Hedy Siedarta enrolled in Medicare?

Yes. Hedy Siedarta 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.

When was this NPI record last updated?

The NPPES record for Hedy Siedarta was last updated on September 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.