Individual provider Active NPI

Mausumi Natalie Syamal, M.D.

  • Otolaryngology Physician
  • Philadelphia, PA
National Provider Identifier
1003044751
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD463682 Issued in PA
Practice address
219 N Broad St FL 10
Philadelphia, PA 19107-1506
Phone
(215) 762-5165
NPI assigned
Jul 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD463682 PA Primary

Addresses

Primary practice location

219 N Broad St FL 10
Philadelphia, PA 19107-1506

Mailing address

219 N Broad St FL 10
Philadelphia, PA 19107-1506
Phone (215) 762-5165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180419002370 PA Practitioner - Ophthalmology 4688806391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

219 N Broad St
10TH FLR
Philadelphia, PA 19107-1506
Phone (215) 762-5530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD463682PAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Voice & Airway Institute Otolaryngology CurrentSince Nov 7, 2024 Accepting new patients

Locations

219 N Broad St
Fl 10
Philadelphia, PA 19107
Phone (215) 762-5530

Networks

  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • IL HMO C-SNP
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • IL PPO Downstate
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1003044751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 N BROAD ST FL 10",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071506",
            "telephone_number": "215-762-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N BROAD ST FL 10",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071506",
            "telephone_number": "215-762-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYAMAL",
        "first_name": "MAUSUMI",
        "middle_name": "NATALIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD463682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.