Individual provider Active NPI

Stacey Trooskin, MD

  • Infectious Disease Physician
  • Philadelphia, PA
National Provider Identifier
1073716296
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD438036 Issued in PA
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
102707370MedicaidPA

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
I20120525000413 PA Practitioner - Internal MedicinePractitioner - Infectious Disease 7810150083 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD438036PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Jun 7, 2017 Accepting new patients
Drexel University CurrentSince Jul 1, 2014 Accepting new patients
University of Penn-Medical Group Infectious Disease CurrentSince Jun 7, 2017 Accepting new patients
Drexel University CurrentSince Jul 1, 2014 Accepting new patients
Mazzoni Center Current Accepting new patients
Mazzoni Center CurrentSince Nov 21, 2023 Accepting new patients
Drexel University Current Accepting new patients
Jefferson University Physicians PastSince Nov 21, 2023 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

  • FHIR API: https://api.platform.athenahealth.com/2819/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

FacilityTypeRoleSince
Mazzoni CenterPhiladelphia, PA, CCN D31032 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.

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.

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

Verify at the official NPI Registry.