Active NPI
Ian Steven Udvarhelyi, M.D.
- Internal Medicine Physician
- Malvern, PA
National Provider Identifier
1053413724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD070055L
- Practice address
- 2185 Wyndtree LN
Malvern, PA 19355-2343 - Phone
- (610) 407-7075
- Fax
- (610) 407-4520
- NPI assigned
- Sep 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | MD070055L | PA | Primary |
| Internal Medicine Physician | 207R00000X | 57945 | MA | |
| Internal Medicine Physician | 207R00000X | C1-0005898 | DE | |
| Internal Medicine Physician | 207R00000X | 25MA05721900 | NJ |
Addresses
Primary practice location
2185 Wyndtree LN
Malvern, PA 19355-2343
Mailing address
2185 Wyndtree LN
Malvern, PA 19355-2343
Phone (610) 407-7075
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0005898 | DE | MD | Internal Medicine Physician |
| 57945 | MA | MD | Internal Medicine Physician |
| 25MA05721900 | NJ | MD | Internal Medicine Physician |
| MD070055L | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053413724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2185 WYNDTREE LN",
"city": "MALVERN",
"state": "PA",
"postal_code": "193552343",
"telephone_number": "610-407-7075",
"fax_number": "610-407-4520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2185 WYNDTREE LN",
"city": "MALVERN",
"state": "PA",
"postal_code": "193552343",
"telephone_number": "610-407-7075",
"fax_number": "610-407-4520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDVARHELYI",
"first_name": "IAN",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD070055L",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "57945",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C1-0005898",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA05721900",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Malvern, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.