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ELIZABETH HERRUP MD
NPI 1740547785
Pediatrics - Pediatric Critical Care Medicine in Philadelphia, PA

Active since April 16, 2012PECOS EnrolledAccepts Medicare Assignment
3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104(215) 590-1000(215) 590-1415 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2023, Dec 6, 2022, Mar 11, 2022 and 2 more (5 updates tracked since 2021).

About Elizabeth Herrup Md NPPES

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

ELIZABETH HERRUP MD (NPI 1740547785) is an individual pediatric critical care medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD464265) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Massachusetts Medical School (2012).

NPPES Registry Identity

NPI1740547785
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameELIZABETH HERRUPCredential: MD
Location Address3401 CIVIC CENTER BLVD STE 9329Philadelphia, PA 19104-4319
Mailing Address3401 Civic Center Blvd Ste 9329Philadelphia, PA 19104-4319 · (267) 425-9300 · Fax (267) 425-9331
Phone(215) 590-1000
Fax(215) 590-1415
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2012
Enumeration DateApril 16, 2012
Last NPPES UpdateJune 2, 20235 updates tracked since enumeration
NPPES CertifiedJune 2, 2023
✔ NPI 1740547785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in PA · MD464265
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License ME142086 (FL), D79033 (MD), MD464265 (PA)
3401 CIVIC CENTER BLVD STE 9329, Philadelphia, PA 19104
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Secondary Practice Locations 2

Location 1836 Prudential DrJacksonville, FL 32207-8334 · Phone (904) 202-8550
Location 2550 S Goddard BlvdKing Of Prussia, PA 19406-2922 · Phone (610) 337-3232 · Fax (610) 337-0325

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

Elizabeth Herrup 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 ID5698081768
PECOS Enrollment IDI20190911000533
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.

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.

RAJEEV SUBRAMANYAM IYER M.D.
Anesthesiology (Pediatric Anesthesiology)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858
DAVID HEHIR MD
Pediatrics (Pediatric Critical Care Medicine)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858
SAMUEL ROSENBLATT M.D.
Pediatrics (Pediatric Critical Care Medicine)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858
DR. JUSTIN LAWRENCE LOCKMAN M.D.
Pediatrics (Pediatric Critical Care Medicine)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858
ANDRIA RENAE JANOS CRNA
Nurse Anesthetist, Certified Registered
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858
RICHARD MISSETT D.O.
Anesthesiology (Pediatric Anesthesiology)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858
HEATHER ANN WOLFE M.D
Pediatrics (Pediatric Critical Care Medicine)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858
FELINA MILLE MD
Pediatrics (Pediatric Critical Care Medicine)
3401 CIVIC CENTER BLVD STE 9329
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1858

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 Elizabeth Herrup's NPI number?

The NPI number for Elizabeth Herrup is 1740547785. It was assigned to this individual provider in the NPPES registry on April 16, 2012.

Where is Elizabeth Herrup located?

Elizabeth Herrup practices at 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104. The listed phone number is (215) 590-1000.

What is Elizabeth Herrup's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Elizabeth Herrup enrolled in Medicare?

Yes. Elizabeth Herrup 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 Elizabeth Herrup was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.