Active NPI
Thomas P. Zavitsanos, M.D.
- Pain Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- MD041904E
- Practice address
- 3998 Red Lion Rd
Suite 304
Philadelphia, PA 19114-1445 - Phone
- (215) 612-4060
- Fax
- (215) 612-2630
- NPI assigned
- Jul 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD041904E | PA | |
| Pain Medicine Physician | 208VP0000X | MD041904E | PA | Primary |
Addresses
Primary practice location
3998 Red Lion Rd
Suite 304
Philadelphia, PA 19114-1445
Mailing address
PO Box 8500-6335
Philadelphia, PA 19178-0001
Phone (215) 807-8000
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012020000002 | Medicaid | PA | |
| 810454462 | Other | PA | PHCS |
| 0012020000005 | Medicaid | PA | |
| 0012020000001 | Medicaid | PA | |
| 0012020000006 | Medicaid | PA | |
| 30002953 | Other | PA | KEYSTONE MERCY |
| 605367 | Other | PA | HIGHMARK BLUE SHIELD |
| 050090775 | Other | PA | RAILROAD MEDICARE |
| 1134679 | Other | PA | CIGNA |
| 3056444 | Other | PA | AETNA CONTRACT |
| 30070979 | Other | PA | KEYSTONE MERCY - PM |
| 605367 | Other | PA | PERSONAL CHOICE |
| 01202000-05 | Other | PA | AMERICHOICE |
| 0427892000 | Other | PA | KEYSTONE IBC |
| 1330666 | Other | PA | FIRST HEALTH |
| 1242712 | Other | PA | UNITED HEALTHCARE |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Temple University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3998 Red Lion Rd
Philadelphia, PA 19114-1441
Phone (215) 612-4060
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Health Physician Services | Current | Accepting new patients | |
| Aria Health Physician Services | Current | Accepting new patients | |
| Aria Health Physician Services | Current | Accepting new patients | |
| Aria Health Physician Services | Past | Accepting new patients |
Locations
3998 Red Lion Rd
Ste 304
Philadelphia, PA 19114
Phone (215) 612-4060
3998 Red Lion Rd
Ste 235
Philadelphia, PA 19114
Phone (215) 632-3630
3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060
5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Richboro, PA
- NPI 1750949806
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053181297
-
- Pain Medicine (Anesthesiology) Physician
- Philadelphia, PA
- NPI 1609831890
-
- Surgery Physician
- Langhorne, PA
- NPI 1114981123
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1366653818
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1801963343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328659200000",
"number": "1144240243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8500-6335",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780001",
"telephone_number": "215-807-8000",
"fax_number": "215-807-8235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3998 RED LION RD",
"address_2": "SUITE 304",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191141445",
"telephone_number": "215-612-4060",
"fax_number": "215-612-2630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAVITSANOS",
"first_name": "THOMAS",
"middle_name": "P.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2012-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD041904E",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "PA",
"license": "MD041904E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012020000002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "810454462",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012020000005",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012020000001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012020000006",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "30002953",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "605367",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050090775",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1134679",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA CONTRACT",
"identifier": "3056444",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY - PM",
"identifier": "30070979",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "605367",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "01202000-05",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE IBC",
"identifier": "0427892000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1330666",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1242712",
"state": "PA"
}
],
"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 Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.