Elizabeth Fabens, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

PAMD038072E Issued in PA

Practice address

345 E Mount Airy Ave
Philadelphia, PA 19119-1114

Phone

(215) 242-5000

Fax

(215) 242-3951

NPI assigned

Mar 14, 2006

Last updated

Feb 5, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

University of Massachusetts Medical School, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rittenhouse Internal Medicine, PCGroup PAC ID 8820173081, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pennsylvania Hospital Hospital, Philadelphia, PA, CCN 390226
• Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Rittenhouse Internal Medicine, PC

  • Primary Care Clinic/Center
  • Philadelphia, PA
  • NPI 1568631430
  Medicare reassignment Care Compare group NPD
• Greenhouse Internists, PC

  • Internal Medicine Physician
  • Wyndmoor, PA
  • NPI 1669783205
  NPD

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

• Hospital of the University of PA

  • Ambulatory Fertility Facility
  • Phila, PA
  • NPI 1033262316

  Hospital

  Care Compare affiliation
• The Pennsylvania Hospital of the University of Pennsylvania Health Sys

  • General Acute Care Hospital
  • Phila, PA
  • NPI 1063489342
  Care Compare affiliation
• Trustees of the University of Pennsylvania

  dba Hospital of the University of Pennsylvania

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1851370910
  Care Compare affiliation

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1053380923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E MOUNT AIRY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191114",
            "telephone_number": "215-242-5000",
            "fax_number": "215-242-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E MOUNT AIRY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191114",
            "telephone_number": "215-242-5000",
            "fax_number": "215-242-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABENS",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "PAMD038072E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7014465-57",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chineme Lois Ezenekwe, RPH
• Paul L Ezeukwu, MSPT
• Celia Ezidiegwu, MD
• Daniel Raymond Ezzo, MD
• Fa5 Associates LLC (Navy Yard Dental Associates)
• Jillian Paige Faber
• Kenneth David Faber, PHARMD
• Matthew John Faber, PA-C
• Mark Fabi, M.D.
• Juan F Fabian Carreras, MA

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.

Verify at the official NPI Registry.