DEDICATED PENNSYLVANIA OLNEY
NPI 1841707965
Specialist in Philadelphia, PA
About Dedicated Pennsylvania Olney NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEDICATED PENNSYLVANIA OLNEY (NPI 1841707965) is a healthcare organization registered as a specialist in Philadelphia, Pennsylvania and active in the NPI registry since January 2018. The organization lists Raymond Jimenez, Director Of Client Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dedicated Pennsylvania Olney is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
58Medicare enrollment records show 58 clinicians reassign Medicare billing to Dedicated Pennsylvania Olney, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 40 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 58Source: 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 Dedicated Pennsylvania Holding, LLC's NPI number?
The NPI number for Dedicated Pennsylvania Holding, LLC is 1841707965. It was assigned to this organization in the NPPES registry on January 10, 2018. The provider is also known as Dedicated Pennsylvania Olney.
Where is Dedicated Pennsylvania Holding, LLC located?
Dedicated Pennsylvania Holding, LLC is located at 5675 N Front St Ste 141, Philadelphia, PA 19120. The listed phone number is (305) 628-6117.
What is Dedicated Pennsylvania Holding, LLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Dedicated Pennsylvania Holding, LLC enrolled in Medicare?
Yes. Dedicated Pennsylvania Holding, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dedicated Pennsylvania Holding, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 58 clinicians in 6 Medicare specialties reassign their Medicare billing to Dedicated Pennsylvania Holding, LLC. 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 Family Practice (24), Internal Medicine (23) and Nurse Practitioner (8). Of these, 7 practice at this address and 40 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Dedicated Pennsylvania Holding, LLC accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 30 other insurers list Dedicated Pennsylvania Holding, LLC 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 Dedicated Pennsylvania Holding, LLC was last updated on March 27, 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.
# Dedicated Pennsylvania Olney · NPI 1841707965
Specialist organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since January 10, 2018.
## Identity
- **NPI:** 1841707965 (Entity type: Organization)
- **Enumerated:** January 10, 2018
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Legal business name:** Dedicated Pennsylvania Holding, Llc
- **Organization subpart:** Yes (part of Dedicated Pennsylvania Holding, Llc)
- **Authorized official:** Raymond Jimenez, DIRECTOR OF CLIENT SERVICES
## Practice location
- **Address:** 5675 N FRONT ST STE 141, Philadelphia, PA 19120-2719
- **Phone:** (305) 628-6117
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 58 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (24), Internal Medicine (23), Nurse Practitioner (8); 7 practice at this address and 40 within 10 miles; [full list](https://npiprofile.com/npi/1841707965/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 27, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1841707965) · Data from the CMS NPPES public registry.