HEDY LYDIA SIEDARTA
NPI 1659091437
Nurse Practitioner - Primary Care in Philadelphia, PA
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
Specialties & Licenses 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Hedy Siedarta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bala Cynwyd, PA 19004
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Methodist Associates In Healthcare, Inc
- 600 clinicians in this Medicare group
Philadelphia, PA 19103
- Reassigned Medicare billing, Pennsylvania enrollment
- 13 clinicians in this Medicare group
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,739 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
Which organizations bill Medicare for Hedy Siedarta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hedy Siedarta reassigns Medicare benefits to 3 organizations: Jefferson Community Physicians (Bala Cynwyd, PA), Rittenhouse Internal Medicine, PC (Philadelphia, PA) and Jefferson University Physicians (Philadelphia, PA). 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 Hedy Siedarta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hedy Siedarta accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Hedy Siedarta 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 Hedy Siedarta was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Hedy Lydia Siedarta · NPI 1659091437
Primary Care physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 31, 2022.
## Identity
- **NPI:** 1659091437 (Entity type: Individual)
- **Enumerated:** August 31, 2022
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** SP026217 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 6232 MARKET ST, Philadelphia, PA 19139-2922
- **Phone:** (215) 383-0191
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Jefferson Community Physicians (NPI 1891587036, Bala Cynwyd, PA); Rittenhouse Internal Medicine, PC (NPI 1568631430, Philadelphia, PA); Jefferson University Physicians (NPI 1326093675, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1659091437) · Data from the CMS NPPES public registry.