Individual provider Active NPI

Thomas Daniel Regan, M.D.

  • MOHS-Micrographic Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1073585907
Registry record updated May 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD441292 Issued in PA
Practice address
822 Pine St
Suite 2a
Philadelphia, PA 19107-6187
Phone
(267) 519-0154
Fax
(267) 519-0597
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101236929 VA
MOHS-Micrographic Surgery Physician 207ND0101X 25MA08860400 NJ
MOHS-Micrographic Surgery Physician 207ND0101X MD441292 PA Primary

Addresses

Primary practice location

822 Pine St
Suite 2a
Philadelphia, PA 19107-6187

Mailing address

835 Spring House Farm LN
Ambler, PA 19002-2172
Phone (619) 977-6252

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
I20120517000355 PA Practitioner - DermatologyPractitioner - Plastic and Reconstructive Surgery 9234392804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Plastic and Reconstructive Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania Dermatology Group PCGroup PAC ID 9830170877, 8 clinicians
Pennsylvania Centre for Dermatology, LLCGroup PAC ID 4183603335, 40 clinicians

Practice addresses (Care Compare)

2301 Huntingdon Pike
Suite 202
Huntingdon Valley, PA 19006-6130
Phone (215) 947-7500

822 Pine St
Philadelphia, PA 19107-6187
Phone (267) 519-0154

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Quality
92.77
Promoting interoperability
100
Improvement activities
40
Cost
73.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision37
Removal of skin lesions148
Removal of skin cancer1238
Skin biopsy28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101236929VAMDDermatology Physician
25MA08860400NJMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Centre for Dermatology, LLC Dermatology CurrentSince May 1, 2012 Accepting new patients
Pennsylvania Dermatology Group, P.C. Dermatology CurrentSince Jul 2, 2012 Accepting new patients

Locations

50 Monument Rd
Ste 301
Bala Cynwyd, PA 19004
Phone (610) 668-2570

2301 Huntingdon Pike
Ste 202
Huntingdon Vy, PA 19006
Phone (215) 947-7500

1900 Market St
Fl 1
Philadelphia, PA 19103

822 Pine St
Ste 2A
Philadelphia, PA 19107
Phone (267) 519-0154

Interoperability endpoints

  • Direct secure messaging: thomas.regan@schweigerderm.emadirect.md

Organizations & group practices 2

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369612800000",
    "number": "1073585907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 SPRING HOUSE FARM LN",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022172",
            "telephone_number": "619-977-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 PINE ST",
            "address_2": "SUITE 2A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076187",
            "telephone_number": "267-519-0154",
            "fax_number": "267-519-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN",
        "first_name": "THOMAS",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2013-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101236929",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NJ",
            "license": "25MA08860400",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PA",
            "license": "MD441292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.