FOTTFAM BAGUIO LABOUFF PA-C
NPI 1770089930
Physician Assistant - Medical in Philadelphia, PA

Active since April 04, 2018PECOS EnrolledAccepts Medicare Assignment
555 S 43RD ST, PHILADELPHIA, PA 19104(215) 685-7504 Get Directions Write a Review

NPPES record last updated: April 4, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fottfam Baguio Labouff Pa-c NPPES

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

FOTTFAM BAGUIO LABOUFF PA-C (NPI 1770089930) is an individual medical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA059727) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1770089930
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameFOTTFAM BAGUIO LABOUFFCredential: PA-C
Location Address555 S 43RD STPhiladelphia, PA 19104-4408
Mailing Address7240 Ridge AvePhiladelphia, PA 19128-3203 · (209) 598-3180
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 4, 2018
NPI 1770089930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in PA · MA059727
555 S 43RD ST, Philadelphia, PA 19104

Accepted Insurance

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

Fottfam Baguio Labouff Pa-c 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 ID9335403658
PECOS Enrollment IDI20180514000227
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 18

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

Social Worker (Clinical)
555 S 43RD ST
PHILADELPHIA, PA 19104
Pediatrics
555 S 43RD ST, HEALTH CENTER #3
PHILADELPHIA, PA 19104
Pediatrics
555 S 43RD ST
PHILADELPHIA, PA 19104
Nurse Practitioner (Gerontology)
555 S 43RD ST
PHILADELPHIA, PA 19104
Family Medicine
555 S 43RD ST, HEALTH CARE CENTER #3
PHILADELPHIA, PA 19104
Internal Medicine
555 S 43RD ST, HEALTH CARE CENTER #3
PHILADELPHIA, PA 19104
Pharmacy Technician
555 S 43RD ST
PHILADELPHIA, PA 19104
Dentist
555 S 43RD ST, HEALTH CENTER #3
PHILADELPHIA, PA 19104

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 Fottfam Labouff's NPI number?

The NPI number for Fottfam Labouff is 1770089930. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Fottfam Labouff located?

Fottfam Labouff practices at 555 S 43rd St, Philadelphia, PA 19104. The listed phone number is (215) 685-7504.

What is Fottfam Labouff's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Fottfam Labouff enrolled in Medicare?

Yes. Fottfam Labouff 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.

What insurance does Fottfam Labouff accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Fottfam Labouff 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 Fottfam Labouff was last updated on April 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.