Individual provider Active NPI

Dorrit Hale Sterner, MD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1063636181
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD024554E Issued in PA
Practice address
3340 N Broad St
Philadelphia, PA 19140-5102
Phone
(215) 707-4088
Fax
(215) 707-2708
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD024554-E PA
Internal Medicine Physician 207R00000X MD024554E PA Primary

Addresses

Primary practice location

3340 N Broad St
Philadelphia, PA 19140-5102

Mailing address

3340 N Broad St
Philadelphia, PA 19140-5102
Phone (215) 707-4088

Other practice location 1

1316 W Ontario St
Philadelphia, PA 19140-5220
Phone (215) 707-2400

Other practice location 2

1700 N Broad St
Philadelphia, PA 19121
Phone (215) 204-2679

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
I20161117001173 PA Practitioner - Family Practice 3072892900 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD024554-EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple University of the Commonwealth System of Higher Education Internal Medicine CurrentSince Aug 10, 2021 Accepting new patients

Locations

1700 N Broad St
Philadelphia, PA 19121
Phone (215) 204-2679

1700 N Broad St
Ste 4
Philadelphia, PA 19121
Phone (215) 204-2679

Organizations & group practices 1

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1063636181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405102",
            "telephone_number": "215-707-4088",
            "fax_number": "215-707-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405102",
            "telephone_number": "215-707-4088",
            "fax_number": "215-707-2708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1316 W Ontario St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191405220",
            "country_code": "US",
            "telephone_number": "215-707-2400",
            "fax_number": "215-707-4034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19121",
            "country_code": "US",
            "telephone_number": "215-204-2679",
            "fax_number": "215-204-1784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STERNER",
        "first_name": "DORRIT",
        "middle_name": "HALE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD024554-E",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD024554E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.