Individual provider Active NPI

Howard Wenocur, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1063457596
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD43688E Issued in PA
Practice address
9501 Roosevelt Blvd Ste 206B
Philadelphia, PA 19114-1027
Phone
(215) 671-8900
Fax
(215) 671-1272
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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 MD43688E PA Primary

Addresses

Primary practice location

9501 Roosevelt Blvd Ste 206B
Philadelphia, PA 19114-1027

Mailing address

2500 Maryland Rd Ste 504
Willow Grove, PA 19090-1226
Phone (215) 481-6836

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100924000498 PA Practitioner - Internal Medicine 6507982774 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD43688EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Pennsylvania, P.C. Internal Medicine CurrentSince Apr 20, 2024 Accepting new patients
Eaglebell PLLC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Albert Gallatin Home Care and Hospice Services, LLC Past Accepting new patients

Locations

502 W 7th St
Ste 100
Erie, PA 16502
Phone (215) 258-4243

100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534

1368 Mall Run Rd
Ste 628
Uniontown, PA 15401
Phone (724) 438-6660

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

11700 Preston Rd
Ste 600
Dallas, TX 75230

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1063457596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MARYLAND RD STE 504",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901226",
            "telephone_number": "215-481-6836",
            "fax_number": "215-481-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 ROOSEVELT BLVD STE 206B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141027",
            "telephone_number": "215-671-8900",
            "fax_number": "215-671-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENOCUR",
        "first_name": "HOWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD43688E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.