Active NPI
Stacey Trooskin, MD
- Infectious Disease Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MD438036
- Practice address
- 1233 Locust St FL 4
Philadelphia, PA 19107-5459 - Phone
- (215) 790-1788
- Fax
- (215) 732-5490
- NPI assigned
- Jun 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD438036 | PA | |
| Infectious Disease Physician | 207RI0200X | MD438036 | PA | Primary |
Addresses
Primary practice location
1233 Locust St FL 4
Philadelphia, PA 19107-5459
Mailing address
1233 Locust St FL 3
Philadelphia, PA 19107-5400
Phone (215) 985-4448
Other practice location 1
1207 Chestnut St Fl 3
Philadelphia, PA 19107-4131
Phone (267) 725-0252
Other practice location 2
3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 479-6689
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102707370 | Medicaid | PA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD438036 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn-Medical Group | Current | Accepting new patients | |
| Drexel University | Current | Accepting new patients | |
| University of Penn-Medical Group | Infectious Disease | Current | Accepting new patients |
| Drexel University | Current | Accepting new patients | |
| Mazzoni Center | Current | Accepting new patients | |
| Mazzoni Center | Current | Accepting new patients | |
| Drexel University | Current | Accepting new patients | |
| Jefferson University Physicians | Past | Accepting new patients |
Locations
1348 Bainbridge St
Philadelphia, PA 19147
Phone (215) 563-0652
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
136 Diamond St
#C
Philadelphia, PA 19122
Phone (215) 426-8100
1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530
3400 Spruce St
Fl 3
Philadelphia, PA 19104
1201 Locust St
Philadelphia, PA 19107
Phone (215) 985-9206
219 N Broad St
Fl 5
Philadelphia, PA 19107
Phone (215) 762-6070
Interoperability endpoints
- https://api.platform.athenahealth.com/2819/brand/1/csg/1/fhir/r4
- stacey.trooskin.1@2819.direct.athenahealth.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Mazzoni Center | Federally qualified health center | Operational/Managerial Control | Aug 10, 2023 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1477631307
Operational/Managerial Control
Organizations & group practices 8
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.
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- Family Medicine Physician
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- NPI 1477631307
-
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- NPI 1194832899
-
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- NPI 1033214499
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- NPI 1104822253
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- Philadelphia, PA
- NPI 1871981985
-
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1073716296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 LOCUST ST FL 3",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075400",
"telephone_number": "215-985-4448",
"fax_number": "215-732-1145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 LOCUST ST FL 4",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075459",
"telephone_number": "215-790-1788",
"fax_number": "215-732-5490"
}
],
"practiceLocations": [
{
"address_1": "1207 Chestnut St Fl 3",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191074131",
"country_code": "US",
"telephone_number": "267-725-0252",
"fax_number": "215-732-1046",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3400 Spruce St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044238",
"country_code": "US",
"telephone_number": "215-479-6689",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TROOSKIN",
"first_name": "STACEY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD438036",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "PA",
"license": "MD438036",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102707370",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.