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DEDICATED PENNSYLVANIA NORTH PHILADELPHIA
NPI 1952804312
Internal Medicine in Philadelphia, PA

Active since March 13, 2018
2101 W LEHIGH AVE STE A, PHILADELPHIA, PA 19132(305) 628-6117(786) 870-4039 Get Directions Write a Review

NPPES record last updated: March 13, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dedicated Pennsylvania North Philadelphia NPPES

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

DEDICATED PENNSYLVANIA NORTH PHILADELPHIA (NPI 1952804312) is a healthcare organization registered as an internal medicine in Philadelphia, Pennsylvania and active in the NPI registry since March 2018. The organization lists Raymond Jimenez, Dir Of Client Svcs, as its authorized official.

NPPES Registry Identity

NPI1952804312
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDEDICATED PENNSYLVANIA HOLDING, LLC
Location Address2101 W LEHIGH AVE STE APhiladelphia, PA 19132-2664
Mailing Address1395 N.w. 167th Street, Payer Enrollment DepartmentMiami Gardens, FL 33169 · (786) 870-4039 · Fax (786) 870-4039
Phone(305) 628-6117
Fax(786) 870-4039
Organization SubpartYes
Authorized OfficialRaymond JimenezDir Of Client Svcs · (786) 870-4039
Enumeration DateMarch 13, 2018
✔ NPI 1952804312 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 ListedSpecialistTaxonomy 174400000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
2101 W LEHIGH AVE STE A, Philadelphia, PA 19132
Open in Google Maps ↗

Other Names 1

Other NameDedicated Pennsylvania North Philadelphia

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.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 North Philadelphia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

58

Medicare enrollment records show 58 clinicians reassign Medicare billing to Dedicated Pennsylvania North Philadelphia, 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

Family Practice24
Internal Medicine23
Nurse Practitioner8
Cardiovascular Disease (Cardiology)1
Hospitalist1
Podiatry1

Nearest to this location (20)

See all 58
Naiema Benson, D.O.
Internal Medicine
NPI 1730491770
2101 W LEHIGH AVE STE A
Philadelphia, PA 19132
(267) 866-7211
✔ PECOS✔ Accepts MedicareSame address
Ephraim Dunn, D. O.
Family Practice
NPI 1932536232
2101 W LEHIGH AVE STE A
Philadelphia, PA 19132
(264) 866-7211
✔ PECOS✔ Accepts MedicareSame address
Kostiya Peki, M.D.
Internal Medicine
NPI 1518975325
2101 W LEHIGH AVE STE A
Philadelphia, PA 19132
(267) 866-7211
✔ PECOSSame address
Robert Perkins, D.O.
Family Practice
NPI 1366892416
2101 W LEHIGH AVE STE A
Philadelphia, PA 19132
(267) 866-7211
✔ PECOSSame address
Patrick Waters, D.O., F.A.A.F.P
Family Practice
NPI 1356302715
2101 W LEHIGH AVE STE A
Philadelphia, PA 19132
(267) 866-7211
✔ PECOS✔ Accepts MedicareSame address
Connor Whitaker, MD
Family Practice
NPI 1427686344
2101 W LEHIGH AVE STE A
Philadelphia, PA 19132
(267) 866-7211
✔ PECOSSame address
Mica Winchester, MD
Internal Medicine
NPI 1982133195
2101 W LEHIGH AVE STE A
Philadelphia, PA 19132
(267) 866-7211
✔ PECOSSame address
Haresh Punjabi, MD
Family Practice
NPI 1316985906
2250 E ALLEGHENY AVE
Philadelphia, PA 19134
(215) 427-3343
✔ PECOS3.1 mi
Giovanni Avelluto, D.O.
Family Practice
NPI 1700228939
1575 N 52ND ST STE S-3
Philadelphia, PA 19131
(267) 930-4858
✔ PECOS3.3 mi
David Barr, M.D.
Family Practice
NPI 1902285653
1575 N 52ND ST STE S-3
Philadelphia, PA 19131
(267) 930-4858
✔ PECOS✔ Accepts Medicare3.3 mi
Sameena Kaur, M.D.
Internal Medicine
NPI 1184155343
1575 N 52ND ST STE S3
Philadelphia, PA 19131
(267) 930-4858
✔ PECOS3.3 mi
Sumit Kumar, M.D.
Internal Medicine
NPI 1922259431
1575 N 52ND ST STE S-3
Philadelphia, PA 19131
(264) 930-4858
✔ PECOS✔ Accepts Medicare3.3 mi
Rose Lee, DO
Cardiovascular Disease (Cardiology)
NPI 1558334151
1575 N 52ND ST STE S-33
Philadelphia, PA 19131
(267) 930-4858
✔ PECOS3.3 mi
James Mathew, MD
Internal Medicine
NPI 1669009981
1575 N 52ND ST STE S-3
Philadelphia, PA 19131
(267) 930-4858
✔ PECOS3.3 mi
Owen Morris, DPM
Podiatry
NPI 1710405675
1575 N 52ND ST STE S-3
Philadelphia, PA 19131
(267) 930-4858
✔ PECOS3.3 mi
Deborah Niles, MD FAAFP
Family Practice
NPI 1376569715
1575 N 52ND ST STE S-3
Philadelphia, PA 19131
(267) 930-4858
✔ PECOS✔ Accepts Medicare3.3 mi
Sophie Parker, M.D.
Internal Medicine
NPI 1760416796
1575 N 52ND ST
Philadelphia, PA 19131
(267) 930-4858
✔ PECOS3.3 mi
Akilah Bates, M.D.
Internal Medicine
NPI 1578858353
5201 HAVERFORD AVE
Philadelphia, PA 19139
(215) 471-2761
✔ PECOS✔ Accepts Medicare3.8 mi
Cynthia Gary
Nurse Practitioner
NPI 1710596481
5675 N FRONT ST STE 141
Philadelphia, PA 19120
(267) 428-6575
✔ PECOS✔ Accepts Medicare3.9 mi
Eliana Serna Martinez
Nurse Practitioner
NPI 1124764840
5675 N FRONT ST
Philadelphia, PA 19120
(215) 279-6999
✔ PECOS✔ Accepts Medicare3.9 mi
See all 58 clinicians

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 Dedicated Pennsylvania Holding, LLC's NPI number?

The NPI number for Dedicated Pennsylvania Holding, LLC is 1952804312. It was assigned to this organization in the NPPES registry on March 13, 2018. The provider is also known as Dedicated Pennsylvania North Philadelphia.

Where is Dedicated Pennsylvania Holding, LLC located?

Dedicated Pennsylvania Holding, LLC is located at 2101 W Lehigh Ave Ste A, Philadelphia, PA 19132. The listed phone number is (305) 628-6117.

What is Dedicated Pennsylvania Holding, LLC's specialty?

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

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 13, 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.