Individual provider Active NPI

Ian Steven Udvarhelyi, M.D.

  • Internal Medicine Physician
  • Malvern, PA
National Provider Identifier
1053413724
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD070055L Issued in PA
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
C1-0005898DEMDInternal Medicine Physician
57945MAMDInternal Medicine Physician
25MA05721900NJMDInternal Medicine Physician
MD070055LPAMDInternal 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.

Verify at the official NPI Registry.