Individual provider Active NPI

Ilona Kharazi, CRNP

  • Adult Health Nurse Practitioner
  • Elkins Park, PA
National Provider Identifier
1114346194
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP013660 Issued in PA
Practice address
50 Township Line Rd
Elkins Park, PA 19027-2249
Phone
(215) 572-5200
Fax
(215) 572-6456
NPI assigned
Apr 7, 2014
Last updated
Dec 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP013660 PA Primary

Addresses

Primary practice location

50 Township Line Rd
Elkins Park, PA 19027-2249

Mailing address

174 Commonwealth Dr
Newtown, PA 18940-2317
Phone (267) 242-6213

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140717002197 PA Practitioner - Nurse Practitioner 6608092184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

1200 W Tabor Rd
Philadelphia, PA 19141-3019

1200 W Tabor Rd 4TH Floor
Einstein Anesthesia Assoc
Philadelphia, PA 19141-3019
Phone (215) 456-3815

5401 Old York Rd
Philadelphia, PA 19141-3030
Phone (215) 456-3930

5401 Old York Rd Klein BLDG
Phila, PA 19141-3030

5501 Old York Rd
Phila, PA 19141-3018

5501 Old York Rd Levy 2
Einstein Pediatrics Associates
Philadelphia, PA 19141-3018
Phone (215) 456-6786

5501 Old York Rd WCB 4TH FLR
Einstein CT Surgery Assoc
Philadelphia, PA 19141-3018
Phone (215) 456-8270

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc CurrentSince Dec 10, 2014 Accepting new patients
Einstein Practice Plan, Inc CurrentSince Dec 10, 2014 Accepting new patients
BMC Primary Care Physicians LLC CurrentSince Apr 30, 2014 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients

Locations

205 Radcliffe St
Bristol, PA 19007
Phone (215) 788-7070

501 Bath Rd
Bristol, PA 19007
Phone (215) 785-9200

5401 Old York Rd
Philadelphia, PA 19141
Phone (215) 456-7150

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

Interoperability endpoints

  • Direct secure messaging: ilona.kharazi@direct.einstein.edu

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1114346194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 COMMONWEALTH DR",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189402317",
            "telephone_number": "267-242-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 TOWNSHIP LINE RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272249",
            "telephone_number": "215-572-5200",
            "fax_number": "215-572-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHARAZI",
        "first_name": "ILONA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP013660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

Verify at the official NPI Registry.