Individual provider Active NPI

Sandra B. Weibel, M.D.

  • Pulmonary Disease Physician
  • Philadelphia, PA
National Provider Identifier
1144243791
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD041683E Issued in PA
Practice address
834 Chestnut St
Suite 650
Philadelphia, PA 19107-5127
Phone
(215) 955-5161
Fax
(215) 955-6003
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD041683E PA
Clinical & Laboratory Immunology (Internal Medicine) Physician 207RI0001X MD041683E PA
Pulmonary Disease Physician 207RP1001X MD041683E PA Primary

Addresses

Primary practice location

834 Chestnut St
Suite 650
Philadelphia, PA 19107-5127

Mailing address

834 Walnut St
Suite 650
Philadelphia, PA 19107-5109

Other identifiers 2

IdentifierTypeStateIssuer
001279294MedicaidPA
6775705MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050126000927 PA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 9133179245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
University of Pittsburgh School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

1101 Chestnut St
Philadelphia, PA 19107-3619
Phone (800) 533-3669

1101 Market St
FL 19
Philadelphia, PA 19107-2926

111 S 11TH St
Philadelphia, PA 19107-4824

225 E City Ave
Suite 109
Bala Cynwyd, PA 19004-1724
Phone (610) 644-0134

2301 S Broad St
Philadelphia, PA 19148-3542
Phone (215) 952-7444

834 Walnut St
Suite 110
Philadelphia, PA 19107-5109
Phone (215) 503-4779

925 Chestnut St
Philadelphia, PA 19107-4204

925 Chestnut St
Suite 3
Philadelphia, PA 19107-4216
Phone (215) 955-8874

Hospital & facility affiliations

  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174
  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD041683EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians Internal Medicine CurrentSince May 26, 1992 Accepting new patients
Thomas Jefferson University Hospitals Inc Past Accepting new patients
Aria Health Physician Services Past Accepting new patients
Jefferson University Physicians Past Accepting new patients
Methodist Hospital Past Accepting new patients

Locations

225 E City Line Ave
Ste 109
Bala Cynwyd, PA 19004
Phone (215) 503-3838

834 Walnut St
Ste 650
Philadelphia, PA 19107
Phone (215) 928-7000

1101 Chestnut St
Fl 17
Philadelphia, PA 19107
Phone (215) 955-5161

111 S 11th St
Philadelphia, PA 19107
Phone (215) 955-6161

125 S 9th St
Ste 400
Philadelphia, PA 19107
Phone (215) 922-2455

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1144243791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 WALNUT ST",
            "address_2": "SUITE 650",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 CHESTNUT ST",
            "address_2": "SUITE 650",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075127",
            "telephone_number": "215-955-5161",
            "fax_number": "215-955-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIBEL",
        "first_name": "SANDRA",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD041683E",
            "primary": false
        },
        {
            "code": "207RI0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical & Laboratory Immunology",
            "state": "PA",
            "license": "MD041683E",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD041683E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001279294",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6775705",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.