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WEST CAYUGA MEDICAL CENTER
NPI 1811449697
Internal Medicine in Philadelphia, PA

Active since October 27, 2016
257 W CAYUGA ST, PHILADELPHIA, PA 19140(267) 368-6953(215) 621-6940 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 30, 2023, Dec 30, 2016, Nov 1, 2016 and 1 more (4 updates tracked since 2016).

About West Cayuga Medical Center NPPES

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

WEST CAYUGA MEDICAL CENTER (NPI 1811449697) is a healthcare organization registered as an internal medicine in Philadelphia, Pennsylvania and active in the NPI registry since October 2016. The organization maintains a secondary practice location in Springfield and lists Fabian A Vengoechea, Owner & Ceo, as its authorized official.

NPPES Registry Identity

NPI1811449697
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWEST CAYUGA MEDICINE PC
Location Address257 W CAYUGA STPhiladelphia, PA 19140-2439
Mailing Address257 W Cayuga StPhiladelphia, PA 19140-2439 · (267) 368-6953 · Fax (215) 621-6940
Phone(267) 368-6953
Fax(215) 621-6940
Organization SubpartNo
Authorized OfficialFabian A VengoecheaOwner & Ceo · (267) 368-6953
Enumeration DateOctober 27, 2016
Last NPPES UpdateMarch 21, 20244 updates tracked since enumeration
NPPES CertifiedMarch 21, 2024
✔ NPI 1811449697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
257 W CAYUGA ST, Philadelphia, PA 19140
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Other Names 1

Doing Business AsWest Cayuga Medical Center

Secondary Practice Location 1

Location 11001 Baltimore Pike Ste 9BSpringfield, PA 19064-2862 · Phone (267) 368-6953 · Fax (215) 621-6940

Other Identifiers 1

Medicaid103229169PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

West Cayuga Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to West Cayuga Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Jacqueline Redman, CRNP
Nurse Practitioner
NPI 1063753598
3401 N BROAD ST
Philadelphia, PA 19140
(215) 707-3601
✔ PECOS✔ Accepts Medicare1.5 mi
Fabian Vengoechea, M.D.
Internal Medicine
NPI 1033150800
7600 CENTRAL AVE
Philadelphia, PA 19111
(215) 728-2000
✔ PECOS✔ Accepts Medicare4.0 mi
Yun Mi Kim
Nurse Practitioner
NPI 1750938288
1001 BALTIMORE PIKE STE 9B
Springfield, PA 19064
(267) 368-6953
✔ PECOS13 mi
Jessica O'driscoll
Nurse Practitioner
NPI 1053846428
1001 BALTIMORE PIKE STE 9B
Springfield, PA 19064
(267) 368-6953
✔ PECOS✔ Accepts Medicare13 mi
Lea Isaac, D.O.
Obstetrics/Gynecology
NPI 1770795106
1088 W BALTIMORE PIKE HCCII SUITE 2303
Media, PA 19063
(610) 627-4400
✔ PECOS✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 West Cayuga Medicine PC's NPI number?

The NPI number for West Cayuga Medicine PC is 1811449697. It was assigned to this organization in the NPPES registry on October 27, 2016. The provider is doing business as West Cayuga Medical Center.

Where is West Cayuga Medicine PC located?

West Cayuga Medicine PC is located at 257 W Cayuga St, Philadelphia, PA 19140. The listed phone number is (267) 368-6953.

What is West Cayuga Medicine PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is West Cayuga Medicine PC enrolled in Medicare?

Yes. West Cayuga Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Cayuga Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to West Cayuga Medicine PC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3), Internal Medicine (1) and Obstetrics/Gynecology (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for West Cayuga Medicine PC was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.