NPIMap

Individual provider Active NPI

Robert W. Herpen, D.P.M.

  • Podiatrist
  • Philadelphia, PA
National Provider Identifier
1053400630
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC 002238 L Issued in PA
Practice address
8TH at Race St
Temple University School of Podiatric Medicine
Philadelphia, PA 19107-2496
Phone
(215) 625-5215
Fax
(215) 625-9837
NPI assigned
Oct 12, 2006
Last updated
Jul 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC 002238 L PA Primary
Primary Podiatric Medicine Podiatrist 213EP1101X SC02238L PA
Foot Surgery Podiatrist 213ES0131X SC02238L PA

Addresses

Primary practice location

8TH at Race St
Temple University School of Podiatric Medicine
Philadelphia, PA 19107-2496

Mailing address

8TH at Race St
Temple University School of Podiatric Medicine
Philadelphia, PA 19107-2496
Phone (215) 625-5215

Other identifiers 3

IdentifierTypeStateIssuer
0060717000OtherPAINDEPENDENCE BLUE CROSS
000155834OtherPAHIGHMARK BLUE SHIELD
0008776180001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC 002238 LPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Temple University of the Commonwealth System of Higher Education Podiatrist Past Accepting new patients
Temple University of the Commonwealth System of Higher Education Past Accepting new patients
Herpen Associates Podiatrist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1053400630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8TH AT RACE ST",
            "address_2": "TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072496",
            "telephone_number": "215-625-5215",
            "fax_number": "215-625-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8TH AT RACE ST",
            "address_2": "TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072496",
            "telephone_number": "215-625-5215",
            "fax_number": "215-625-9837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERPEN",
        "first_name": "ROBERT",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC 002238 L",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC02238L",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC02238L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0060717000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "000155834",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008776180001",
            "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 Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.