Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. LARRY SEIDMAN D.O.
NPI 1821041039
Obstetrics & Gynecology - Gynecology in Philadelphia, PA

Active since May 18, 2006PECOS Enrolled
9501 ROOSEVELT BLVD, SUITE 404, PHILADELPHIA, PA 19114(215) 676-8111(215) 673-8210 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Larry Seidman D.o. NPPES

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

DR. LARRY SEIDMAN D.O. (NPI 1821041039) is an individual gynecology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS003155L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821041039
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameDR. LARRY SEIDMANCredential: D.O.
Location Address9501 ROOSEVELT BLVD, SUITE 404Philadelphia, PA 19114-1025
Mailing Address9501 Roosevelt Blvd, Suite 404Philadelphia, PA 19114-1025 · (215) 676-8111 · Fax (215) 673-8210
Fax(215) 673-8210
Sole ProprietorNo
Enumeration DateMay 18, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1821041039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in PA · OS003155L
Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

9501 ROOSEVELT BLVD, Philadelphia, PA 19114

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Larry Seidman D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 19114 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
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.

Internal Medicine (Cardiovascular Disease)
9501 ROOSEVELT BLVD, STE 501
PHILADELPHIA, PA 19114
Internal Medicine (Cardiovascular Disease)
9501 ROOSEVELT BLVD, STE 501
PHILADELPHIA, PA 19114
Internal Medicine (Cardiovascular Disease)
9501 ROOSEVELT BLVD, SUITE 501
PHILADELPHIA, PA 19114
Specialist
9501 ROOSEVELT BLVD, SUITE #208
PHILADELPHIA, PA 19114
Internal Medicine
9501 ROOSEVELT BLVD, SUITE 400
PHILADELPHIA, PA 19114
Obstetrics & Gynecology (Gynecology)
9501 ROOSEVELT BLVD, SUITE 404
PHILADELPHIA, PA 19114
Internal Medicine (Gastroenterology)
9501 ROOSEVELT BLVD, SUITE 103
PHILADELPHIA, PA 19114
Pediatrics
9501 ROOSEVELT BLVD, SUITE 410
PHILADELPHIA, PA 19114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821041039, enumerated as an "individual" on May 18, 2006.

The provider is located at 9501 ROOSEVELT BLVD SUITE 404 PHILADELPHIA, PA 19114 and the phone number is (215) 676-8111.

Obstetrics & Gynecology with taxonomy code 207VG0400X and a focus in Gynecology.