Individual provider Active NPI

Ehren Kelly Dancy, MD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1033640974
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD469920 Issued in PA
Practice address
700 Spruce St Ste 304
Philadelphia, PA 19106-4023
Phone
(215) 829-3521
Fax
(215) 829-3532
NPI assigned
Mar 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD469920 PA Primary

Addresses

Primary practice location

700 Spruce St Ste 304
Philadelphia, PA 19106-4023

Mailing address

700 Spruce St Ste 304
Philadelphia, PA 19106-4023
Phone (215) 829-3521

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200506003170 PA Practitioner - Hospitalist 5698025625 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Emory University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trustees of the University of PennsylvaniaGroup PAC ID 2062326507, 150 clinicians

Practice addresses (Care Compare)

700 Spruce St
Philadelphia, PA 19106-4022
Phone (215) 829-3521

700 Spruce St
Philadelphia, PA 19106-4098
Phone (215) 829-3521

Hospital & facility affiliations

  • Pennsylvania Hospital Hospital, Philadelphia, PA, CCN 390226
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jun 24, 2021 Accepting new patients
Trustees of the University of Pennsylvania Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
University of Penn - Medical Group Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Internal Medicine CurrentSince Jun 24, 2021 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Internal Medicine Current Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2023 Accepting new patients
Main Line Healthcare Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

3701 Market St
Fl 1
Philadelphia, PA 19104
Phone (215) 662-2250

700 Spruce St
Ste 304
Philadelphia, PA 19106
Phone (215) 829-3521

3400 Spruce St
Fl 6
Philadelphia, PA 19104
Phone (215) 615-0800

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

100 E Lancaster Ave
Ste 4303
Wynnewood, PA 19096
Phone (484) 476-6421

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1033640974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SPRUCE ST STE 304",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064023",
            "telephone_number": "215-829-3521",
            "fax_number": "215-829-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SPRUCE ST STE 304",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064023",
            "telephone_number": "215-829-3521",
            "fax_number": "215-829-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANCY",
        "first_name": "EHREN",
        "middle_name": "KELLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD469920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.