Active NPI
Oscar Horacio Irigoyen, MD
- Rheumatology Physician
- Philadelphia, PA
National Provider Identifier
1114929585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 146326
- Practice address
- 1015 Walnut St
Ste 613
Philadelphia, PA 19107-5005 - Phone
- (215) 955-1415
- Fax
- (215) 955-7885
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 146326 | NY | Primary |
Addresses
Primary practice location
1015 Walnut St
Ste 613
Philadelphia, PA 19107-5005
Mailing address
1015 Walnut St
Ste 613
Philadelphia, PA 19107-5005
Phone (215) 955-1415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00604100 | Medicaid | NY |
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 |
|---|---|---|---|
| 146326 | NY | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Past | Accepting new patients | |
| Trustees of Columbia University in the Department of Otolaryngology | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 2
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.
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Specialist
- New York, NY
- NPI 1801074315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114929585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 WALNUT ST",
"address_2": "STE 613",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075005",
"telephone_number": "215-955-1415",
"fax_number": "215-955-7885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 WALNUT ST",
"address_2": "STE 613",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075005",
"telephone_number": "215-955-1415",
"fax_number": "215-955-7885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRIGOYEN",
"first_name": "OSCAR",
"middle_name": "HORACIO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NY",
"license": "146326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00604100",
"state": "NY"
}
],
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.