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MANILA BAGHERZADEH-AZAR MD
NPI 1679664544
Radiology - Diagnostic Radiology in Philadelphia, PA

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
3400 SPRUCE ST, RADIOLOGY ADMINISTRATION, 1 SILVERSTEIN STE 130, PHILADELPHIA, PA 19104(610) 688-3643 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Manila Bagherzadeh-azar Md NPPES

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

MANILA BAGHERZADEH-AZAR MD (NPI 1679664544) is an individual diagnostic radiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD436864) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1679664544
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameMANILA BAGHERZADEH-AZARCredential: MD
Location Address3400 SPRUCE ST, RADIOLOGY ADMINISTRATION, 1 SILVERSTEIN STE 130Philadelphia, PA 19104-4206
Mailing Address3400 Spruce St, Radiology Administration, 1 Silverstein Ste 130Philadelphia, PA 19104-4206 · (610) 688-3643
Phone(610) 688-3643
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateSeptember 27, 2006
Last NPPES UpdateOctober 18, 2024
NPPES CertifiedOctober 14, 2024
✔ NPI 1679664544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in PA · MD436864
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

3400 SPRUCE ST, Philadelphia, PA 19104
Open in Google Maps ↗

Other Identifiers 2

OtherP00210259AR · Railroad Medicare
Medicaid156606001AR

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

Manila Bagherzadeh-azar Md 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 ID648226704
PECOS Enrollment IDI20090713000240, I20250620000182
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.

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
$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
$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.

DR. HARRY BART SMELTZ DO
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
ISSAM A MARDINI MD
Anesthesiology (Pain Medicine)
3400 SPRUCE ST, HUP-DULLES 6, ANESTHESIOLOGY DEPT
PHILADELPHIA, PA 19104
Philadelphia County (610) 416-4145
BARBARA A BERNHARDT MS
Genetic Counselor, MS
3400 SPRUCE ST, 535 MALONEY BLDG
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4740
MS. JILL ELISE STOPFER MS
Genetic Counselor, MS
3400 SPRUCE ST, 2007 PENN TOWER
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8143
MS. ROSEMARY THERESA MCMENAMIN CRNP
Nurse Practitioner (Adult Health)
3400 SPRUCE ST, GOUND FLOOR SILVERSTEIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6963
MS. LYNN GODMILOW MSW
Genetic Counselor, MS
3400 SPRUCE ST, ROOM 538 MALONEY BUILDING
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4740
DR. JAMES DAVID KOLKER MD
Radiology (Radiation Oncology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2428
DR. RUTH HERMAN STEINMAN M.D.
Psychiatry & Neurology (Psychiatry)
3400 SPRUCE ST, 2016 PENN TOWER
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-0534

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 Manila Bagherzadeh-azar's NPI number?

The NPI number for Manila Bagherzadeh-azar is 1679664544. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Manila Bagherzadeh-azar located?

Manila Bagherzadeh-azar practices at 3400 Spruce St Radiology Administration, 1 Silverstein Ste 130, Philadelphia, PA 19104. The listed phone number is (610) 688-3643.

What is Manila Bagherzadeh-azar's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Manila Bagherzadeh-azar enrolled in Medicare?

Yes. Manila Bagherzadeh-azar 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 Manila Bagherzadeh-azar was last updated on October 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.