DENINA HELM MD
NPI 1780659177
Family Medicine in Philadelphia, PA
About Denina Helm Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DENINA HELM MD (NPI 1780659177) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD062213L) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (1994).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Denina Helm 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.
Medicare Billing Reassignment
Medicare enrollment records show Denina Helm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19119
- Reassigned Medicare billing, Pennsylvania enrollment
- Also billed through NPI 1558316109 (Pennsylvania)
- 3 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 19150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Denina Helm's NPI number?
The NPI number for Denina Helm is 1780659177. It was assigned to this individual provider in the NPPES registry on February 21, 2006.
Where is Denina Helm located?
Denina Helm practices at 1602 Wadsworth Ave, Philadelphia, PA 19150. The listed phone number is (215) 753-9438.
What is Denina Helm's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Denina Helm enrolled in Medicare?
Yes. Denina Helm 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 Denina Helm's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Denina Helm reassigns Medicare benefits to Einstein Community Health Associates, 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 Denina Helm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Denina Helm accept?
Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Denina Helm 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 Denina Helm was last updated on August 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Denina Helm, MD · NPI 1780659177
Family Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since February 21, 2006.
## Identity
- **NPI:** 1780659177 (Entity type: Individual)
- **Enumerated:** February 21, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD062213L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1602 WADSWORTH AVE, Philadelphia, PA 19150
- **Phone:** (215) 753-9438 · **Fax:** (215) 753-9447
## 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:** Einstein Community Health Associates, Inc (NPI 1427662931, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Howard University College Of Medicine, class of 1994
## Record status
- **NPPES last updated:** August 22, 2008
- **Other identifiers:** Medicare ID-Type Unspecified 0000023907; Medicaid 0017525650003 (PA); Medicare UPIN G87114
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Source: [NPI Profile](https://npiprofile.com/npi/1780659177) · Data from the CMS NPPES public registry.