Organization Active NPI

Temple Physicians Inc

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1093124307
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TEMPLE PHYSICIANS INC
Practice address
7602 Central Ave
Suite 101
Philadelphia, PA 19111-2443
Phone
(215) 969-2900
Fax
(215) 969-1856
NPI assigned
Aug 12, 2014
Organization subpart
Yes
Parent organization
TEMPLE PHYSICIANS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Lynnie Savering
Title
Director Patient Accounting
Phone
(215) 926-9015

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X

Addresses

Primary practice location

7602 Central Ave
Suite 101
Philadelphia, PA 19111-2443

Mailing address

2450 W Hunting Park Ave
2ND Floor Tpi / Cbo
Philadelphia, PA 19129-1302
Phone (215) 926-9019

Other identifiers 3

IdentifierTypeStateIssuer
100727800OtherPATPI PA MEDICAID GROUP
597586OtherPAMEDICARE GROUP TPI
CD4829OtherPARAILROAD MEDICARE GROUP TPI

Other names 1

  • Temple Primary Care at Stapeley Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000054 PA Part B Supplier - Clinic/Group Practice 2062317233 Receives reassigned benefits from 494 practitioners
This NPI is an additional NPI on the enrollment

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2128080Temple Primary Care at Stapeley7602 Central Ave, Ste 101, Philadelphia, PA 19111Certificate of waiverMar 23, 2027

National Provider Directory

National Provider Directory
Part of
Temple Physicians Inc

Locations

261 Old York Rd
Ste 216
Jenkintown, PA 19046
Phone (215) 884-3800

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1093124307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HUNTING PARK AVE",
            "address_2": "2ND FLOOR TPI / CBO",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291302",
            "telephone_number": "215-926-9019",
            "fax_number": "215-226-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7602 CENTRAL AVE",
            "address_2": "SUITE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112443",
            "telephone_number": "215-969-2900",
            "fax_number": "215-969-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE PHYSICIANS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEMPLE PHYSICIANS INC",
        "enumeration_date": "2014-08-12",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "SAVERING",
        "authorized_official_first_name": "LYNNIE",
        "authorized_official_title_or_position": "DIRECTOR PATIENT ACCOUNTING",
        "authorized_official_telephone_number": "215-926-9015"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI PA MEDICAID GROUP",
            "identifier": "100727800",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP TPI",
            "identifier": "597586",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP TPI",
            "identifier": "CD4829",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Temple Primary Care at Stapeley",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.