HEBA ALI ROHIEM ELGHALBAN
NPI 1659900652
Family Medicine in Philadelphia, PA

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
5201 HAVERFORD AVE, PHILADELPHIA, PA 19139(215) 471-2761(215) 472-6093 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 15, 2026, Apr 2, 2020 (2 updates tracked since 2020).

About Heba Ali Rohiem Elghalban NPPES

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

HEBA ALI ROHIEM ELGHALBAN (NPI 1659900652) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (FE3329059) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1659900652
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHEBA ALI ROHIEM ELGHALBAN
Location Address5201 HAVERFORD AVEPhiladelphia, PA 19139-1401
Mailing Address11100 Euclid AveCleveland, OH 44106-1716
Fax(215) 472-6093
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 2, 2020
Last NPPES UpdateJanuary 15, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1659900652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · FE3329059
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5201 HAVERFORD AVE, Philadelphia, PA 19139

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

Heba Ali Rohiem Elghalban 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 ID4183046972
PECOS Enrollment IDI20231030003271
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 Reassignment

Medicare enrollment records show Heba Elghalban reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
5201 HAVERFORD AVE
Philadelphia, PA 19139
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 35 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.

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 20

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

Family Medicine
5201 HAVERFORD AVE
PHILADELPHIA, PA 19139
Nurse Practitioner (Family)
5201 HAVERFORD AVE
PHILADELPHIA, PA 19139
Nurse Practitioner (Women's Health)
5201 HAVERFORD AVE
PHILADELPHIA, PA 19139
Dental Hygienist
5201 HAVERFORD AVE
PHILADELPHIA, PA 19139
Family Medicine
5201 HAVERFORD AVE
PHILADELPHIA, PA 19139
Pediatrics
5201 HAVERFORD AVE
PHILADELPHIA, PA 19139
Clinic/Center (Federally Qualified Health Center (FQHC))
5201 HAVERFORD AVE
PHILADELPHIA, PA 19139
Dentist (General Practice)
5201 HAVERFORD AVE
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 Heba Elghalban's NPI number?

The NPI number for Heba Elghalban is 1659900652. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Heba Elghalban located?

Heba Elghalban practices at 5201 Haverford Ave, Philadelphia, PA 19139. The listed phone number is (215) 471-2761.

What is Heba Elghalban's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Heba Elghalban enrolled in Medicare?

Yes. Heba Elghalban 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 organization bills Medicare for Heba Elghalban's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heba Elghalban reassigns Medicare benefits to Spectrum Health Services, Inc. (Philadelphia, PA). The 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 Heba Elghalban's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Heba Elghalban was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.