Active NPI
Fabian A Vengoechea, M.D.
- Internal Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD427681
- Practice address
- 7600 Central Ave
Philadelphia, PA 19111-2442 - Phone
- (215) 728-2000
- Fax
- (215) 214-4119
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD427681 | PA | Primary |
Addresses
Primary practice location
7600 Central Ave
Philadelphia, PA 19111-2442
Mailing address
257 W Cayuga St
Philadelphia, PA 19140-2439
Phone (267) 368-6953
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CD4829 | Other | PA | RAIL ROAD MEDICARE GROUP TPI |
| 1007278000 | Other | PA | MEDICAID TPI GROUP |
| 597586 | Other | PA | MEDICARE GROUP TPI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
257 W Cayuga St
Philadelphia, PA 19140-2439
Phone (267) 368-6953
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Physician Inc. | Internal Medicine | Current | Accepting new patients |
| West Cayuga Medicine PC | Internal Medicine | Current | Accepting new patients |
| Temple Physicians Inc. | Current | Accepting new patients | |
| Temple Physicians Inc | Internal Medicine | Current | Accepting new patients |
| Temple Physicians Inc | Past | Accepting new patients | |
| Temple Physicians Inc | Internal Medicine | Past | Accepting new patients |
| Temple Physicians Inc | Internal Medicine | Past | Accepting new patients |
| Temple Physicians Inc | Past | Accepting new patients |
Locations
515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120
32 S Pennell Rd
Media, PA 19063
7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522
257 W Cayuga St
Philadelphia, PA 19140
Phone (267) 368-6953
1001 Baltimore Pike
Ste 9B
Springfield, PA 19064
Phone (267) 368-6953
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba West Cayuga Medical Center
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1033150800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "257 W CAYUGA ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191402439",
"telephone_number": "267-368-6953",
"fax_number": "215-621-6940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 CENTRAL AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191112442",
"telephone_number": "215-728-2000",
"fax_number": "215-214-4119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENGOECHEA",
"first_name": "FABIAN",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD427681",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE GROUP TPI",
"identifier": "CD4829",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID TPI GROUP",
"identifier": "1007278000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP TPI",
"identifier": "597586",
"state": "PA"
}
],
"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 Oct 11, 2022; 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.