VICTORY MEDICAL OF PENNSYLVANIA PC
NPI 1972476232
Radiology - Vascular & Interventional Radiology in Philadelphia, PA

Active since September 24, 2025
135 S 19TH ST, PHILADELPHIA, PA 19103(917) 599-9655 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Victory Medical Of Pennsylvania Pc NPPES

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

VICTORY MEDICAL OF PENNSYLVANIA PC (NPI 1972476232) is a healthcare organization registered as a vascular & interventional radiology in Philadelphia, Pennsylvania and active in the NPI registry since September 2025. The organization lists Richard Daniels, Owner, as its authorized official.

NPPES Registry Identity

NPI1972476232
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameVICTORY MEDICAL OF PENNSYLVANIA PC
Location Address135 S 19TH STPhiladelphia, PA 19103-4912
Mailing Address135 S 19th StPhiladelphia, PA 19103-4912
Organization SubpartNo
Authorized OfficialRichard DanielsOwner · (732) 598-4226
Enumeration DateSeptember 24, 2025
Last NPPES UpdateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
✔ NPI 1972476232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
135 S 19TH ST, Philadelphia, PA 19103

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)

Victory Medical Of Pennsylvania Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Victory Medical Of Pennsylvania PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Diagnostic Radiology
NPI 1417905043
54 BEY LEA RD SUITE 1
Toms River, NJ 08753
(732) 616-1801
✔ PECOS✔ Accepts Medicare52 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 Victory Medical Of Pennsylvania PC's NPI number?

The NPI number for Victory Medical Of Pennsylvania PC is 1972476232. It was assigned to this organization in the NPPES registry on September 24, 2025.

Where is Victory Medical Of Pennsylvania PC located?

Victory Medical Of Pennsylvania PC is located at 135 S 19th St, Philadelphia, PA 19103. The listed phone number is (917) 599-9655.

What is Victory Medical Of Pennsylvania PC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Victory Medical Of Pennsylvania PC enrolled in Medicare?

Yes. Victory Medical Of Pennsylvania PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Victory Medical Of Pennsylvania PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Diagnostic Radiology) reassigns their Medicare billing to Victory Medical Of Pennsylvania 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Victory Medical Of Pennsylvania PC was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.