NPIMap

Organization Active NPI

HR Physicians SVS

Doing business as Millennium OBGYN

  • Obstetrics & Gynecology Physician
  • Philadelphia, PA
National Provider Identifier
1114929163
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
HR PHYSICIANS SVS
Doing business as
Millennium OBGYN
Practice address
9807 Bustleton Ave
Philadelphia, PA 19115-3212
Phone
(215) 676-2200
Fax
(215) 676-2408
NPI assigned
Aug 10, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
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

Authorized official

Name
Mrs. Catherine Imbesi
Title
Director Physician Billing
Phone
(215) 856-1066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X PA Primary

Addresses

Primary practice location

9807 Bustleton Ave
Philadelphia, PA 19115-3212

Mailing address

12265 Townsend Rd
Ste 500
Philadelphia, PA 19154-1204
Phone (215) 856-1009

Other identifiers 1

IdentifierTypeStateIssuer
0015313400030MedicaidPA

Other names 1

  • Millennium OBGYN Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040311000028 PA Part B Supplier - Clinic/Group Practice 0042109902 Receives reassigned benefits from 373 practitioners
40 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Philadelphia, PA; Meadowbrook, PA; Richboro, PA; Rockledge, PA; Southampton, PA; Warminster, PA; Warmister, PA; Willow Grove, PA…

Other NPIs on the same Medicare enrollment 40

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 40

National Provider Directory

National Provider Directory
Tax ID family
HR Kramer OB GYN Assocs28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

109 Central Ave
Cheltenham, PA 19012
Phone (215) 663-1500

1648 Huntingdon Pike
#1
Meadowbrook, PA 19046

1648 Huntingdon Pike
Fl 1
Meadowbrook, PA 19046
Phone (215) 938-2040

1650 Huntingdon Pike
Ste 255
Meadowbrook, PA 19046
Phone (215) 938-2055

7390 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 268-9480

9807 Bustleton Ave
Philadelphia, PA 19115
Phone (215) 676-2200

1844 Street Rd
Ste 1
Southampton, PA 18966
Phone (215) 676-2200

735 Fitzwatertown Rd
Willow Grove, PA 19090
Phone (215) 657-2012

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114929163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12265 TOWNSEND RD",
            "address_2": "STE 500",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191541204",
            "telephone_number": "215-856-1009",
            "fax_number": "215-856-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9807 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153212",
            "telephone_number": "215-676-2200",
            "fax_number": "215-676-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HR PHYSICIANS SVS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "IMBESI",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "DIRECTOR PHYSICIAN BILLING",
        "authorized_official_telephone_number": "215-856-1066",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015313400030",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millennium OBGYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.