Active NPI
David Hehir, MD
- Pediatric Critical Care Medicine Physician
- Philadelphia, PA
National Provider Identifier
1093908485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- MD419622
- Practice address
- 3401 Civic Center Blvd Ste 9329
Philadelphia, PA 19104 - Phone
- (215) 590-1858
- NPI assigned
- Aug 20, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | C10011176 | DE | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 52070 | WI | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | MD419622 | PA | Primary |
| Pediatric Cardiology Physician | 2080P0202X | 52070 | WI | |
| Pediatric Cardiology Physician | 2080P0202X | C10011176 | DE |
Addresses
Primary practice location
3401 Civic Center Blvd Ste 9329
Philadelphia, PA 19104
Mailing address
100 E Penn Square
Wanamaker BLDG., 9TH FL., N
Philadelphia, PA 19107-3323
Phone (267) 425-9300
Other practice location 1
1600 Rockland Road
Wilmington, DE 19803-3607
Phone (302) 651-4200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1030031340002 | Medicaid | PA | |
| 1093908485 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10011176 | DE | MD | Pediatric Critical Care Medicine Physician |
| MD419622 | PA | MD | Pediatric Critical Care Medicine Physician |
Interoperability endpoints
- dhehir51870@direct.nemours.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1093908485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E PENN SQUARE",
"address_2": "WANAMAKER BLDG., 9TH FL., N",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191073323",
"telephone_number": "267-425-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 CIVIC CENTER BLVD STE 9329",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-590-1858"
}
],
"practiceLocations": [
{
"address_1": "1600 Rockland Road",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198033607",
"country_code": "US",
"telephone_number": "302-651-4200",
"fax_number": "414-266-2294",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEHIR",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-20",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "DE",
"license": "C10011176",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "WI",
"license": "52070",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "PA",
"license": "MD419622",
"primary": true
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "WI",
"license": "52070",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "DE",
"license": "C10011176",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1030031340002",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093908485",
"state": "WI"
}
],
"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 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.