Active NPI
Mariya Vengrenyuk, M.D.
- Internal Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 84258
- Practice address
- 7600 Central Ave FL 2
Philadelphia, PA 19111-2442 - Phone
- (215) 728-2276
- Fax
- (215) 214-4119
- NPI assigned
- Jun 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 84258 | TX | Primary |
| Internal Medicine Physician | 207R00000X | MD468755 | PA | |
| Internal Medicine Physician | 207R00000X | 302324 | NY | |
| Internal Medicine Physician | 207R00000X | MT212010 | PA |
Addresses
Primary practice location
7600 Central Ave FL 2
Philadelphia, PA 19111-2442
Mailing address
245 N 15TH St FL 6
Philadelphia, PA 19102-1101
Phone (215) 762-7000
Other practice location 1
245 N 15th St Fl 6
Philadelphia, PA 19102-1101
Phone (215) 762-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, DE, PA, NY, GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2501 N Patterson St
Valdosta, GA 31602-1735
Phone (229) 333-1000
640 S State St
Dover, DE 19901-3530
Phone (302) 674-4700
801 Middleford Rd
Seaford, DE 19973-3636
Phone (302) 629-6611
Hospital & facility affiliations
- Tidalhealth Nanticoke, Inc.
- Tanner Medical Center - Carrollton
- Tanner Medical Center Villa Rica
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84258 | TX | MD | Professional Counselor |
| 302324 | NY | MD | Internal Medicine Physician |
| MT212010 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group of Pennsylvania PC | Internal Medicine | Current | Accepting new patients |
| Temple Physicians Inc | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group, Florida Inc | Current | Accepting new patients | |
| Temple Physicians Inc. | Current | Accepting new patients | |
| 24 On Physicians, PC | Current | Accepting new patients | |
| Apogee Medical Group, Wisconsin, S.C | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group, Delaware, Inc | Internal Medicine | Current | Accepting new patients |
| North Shore-Lij Medical PC | Internal Medicine | Current | Accepting new patients |
| North Shore - Lij Medical PC | Internal Medicine | Current | Accepting new patients |
| Inpatient Specialists Group | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group Georgia | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group Waukesha, SC | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Reddy & Associates PC | Current | Accepting new patients | |
| Apogee Medical Group of Pennsylvania PC | Internal Medicine | Current | Accepting new patients |
| 24 On Physicians, P.C. | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Pennsylvania, P.C. | Internal Medicine | Current | Accepting new patients |
| Temple Physician Inc. | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group, New York, PC | Internal Medicine | Current | Accepting new patients |
| Inpatient Specialists Group | Internal Medicine | Current | Accepting new patients |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Tanner Medical Center, Inc | Past | Accepting new patients | |
| Temple Physicians Inc | Past | Accepting new patients | |
| Temple Physicians Inc | Internal Medicine | Past | Accepting new patients |
Locations
15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601
640 S State St
Dover, DE 19901
Phone (302) 744-4700
203 N Marion St
Fl 2
Tampa, FL 33602
Phone (813) 428-6904
203 N Marion St
Tampa, FL 33602
Phone (813) 474-9804
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
515 Main St
Olean, NY 14760
Phone (716) 373-2600
100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040
515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
100 E Lehigh Ave
Philadelphia, PA 19125
Phone (215) 707-1200
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
7600 Central Ave
Fl 2
Philadelphia, PA 19111
Phone (215) 725-7600
7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522
559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210
725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011
Networks
- Freedom Health HMO Network
Organizations & group practices 25
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.
-
- Internal Medicine Physician
- Carrollton, GA
- NPI 1629025143
-
- Internal Medicine Physician
- Dover, DE
- NPI 1326485285
-
- Internal Medicine Physician
- Somerset, PA
- NPI 1639464308
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
-
- Hospitalist Physician
- Far Rockaway, NY
- NPI 1578781787
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1568633535
PA
-
- Hospitalist Physician
- Waukesha, WI
- NPI 1528544608
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1073008579
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carrollton, GA
- NPI 1801883780
-
- General Acute Care Hospital
- Seaford, DE
- NPI 1245214477
-
- General Acute Care Hospital
- Villa Rica, GA
- NPI 1851388748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1013367309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 N 15TH ST FL 6",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021101",
"telephone_number": "215-762-7000",
"fax_number": "215-762-7765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 CENTRAL AVE FL 2",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191112442",
"telephone_number": "215-728-2276",
"fax_number": "215-214-4119"
}
],
"practiceLocations": [
{
"address_1": "245 N 15th St Fl 6",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191021101",
"country_code": "US",
"telephone_number": "215-762-7000",
"fax_number": "215-762-7765",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VENGRENYUK",
"first_name": "MARIYA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-16",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "84258",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD468755",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "302324",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT212010",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.