Active NPI
Casey Coleman, MD, MPH
- Pediatrics Physician
- Philadelphia, PA
National Provider Identifier
1083000608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD464270
- Practice address
- 833 Chestnut St Ste 300
Philadelphia, PA 19107-4405 - Phone
- (302) 861-8800
- Fax
- (215) 861-8815
- NPI assigned
- Apr 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | FC7973654 | DE | |
| Pediatrics Physician | 208000000X | C7-0005924 | DE | |
| Pediatrics Physician | 208000000X | HS000240L | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | MD464270 | PA | Primary |
Addresses
Primary practice location
833 Chestnut St Ste 300
Philadelphia, PA 19107-4405
Mailing address
833 Chestnut St Ste 300
Philadelphia, PA 19107-4405
Phone (215) 861-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- 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 |
|---|---|---|---|
| C7-0005924 | DE | MD | Pediatrics Physician |
| FC7973654 | DE | MD | Pediatrics Physician |
| MD464270 | PA | MD | Pediatrics Physician |
| HS000240L | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Thomas Jefferson University Hospitals Inc | Past | Accepting new patients | |
| The Nemours Foundation | Past | Accepting new patients |
Locations
1600 Rockland Rd
Wilmington, DE 19803
1600 Rockland Rd
Ste 2B80
Wilmington, DE 19803
Phone (302) 651-5570
833 Chestnut St
Ste 300
Philadelphia, PA 19107
Phone (215) 861-8800
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Wilmington, DE
- NPI 1366594699
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591833600000",
"number": "1083000608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 CHESTNUT ST STE 300",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074405",
"telephone_number": "215-861-8800",
"fax_number": "215-861-8815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 CHESTNUT ST STE 300",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074405",
"telephone_number": "302-861-8800",
"fax_number": "215-861-8815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "CASEY",
"credential": "MD, MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-10",
"last_updated": "2020-06-11",
"certification_date": "2020-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DE",
"license": "FC7973654",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DE",
"license": "C7-0005924",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "HS000240L",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD464270",
"primary": true
}
],
"identifiers": [],
"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 Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.