Alexander Tarnopolsky, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS010564L Issued in PA

Practice address

14200 Bustleton Ave
Suite 4
Philadelphia, PA 19116-1186

Phone

(215) 671-0900

Fax

(215) 671-8114

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

New York College of Osteo Medicine of New York Institute of Technology, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Family Medicine PCGroup PAC ID 2567558141, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fidelity Home Health LLC Home health agency, Feasterville Trevose, PA, CCN 398201

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Advanced Family Medicine PC

  • Primary Care Clinic/Center
  • Philadelphia, PA
  • NPI 1790979870
  Medicare reassignment Care Compare group NPD Authorized official
• Northeast Medical and Rehabilitation Center, P.C.

  • Clinic/Center
  • Philadelphia, PA
  • NPI 1700070687
  NPD (past)
• PT Care LLC

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1801279450
  NPD (past)

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

• Fidelity Home Health LLC

  • Home Health Agency
  • Feasterville Trevose, PA
  • NPI 1144569849
  Care Compare affiliation

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154541027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9963 WINGTIP RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151708",
            "telephone_number": "215-533-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 BUSTLETON AVE",
            "address_2": "SUITE 4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191161186",
            "telephone_number": "215-671-0900",
            "fax_number": "215-671-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARNOPOLSKY",
        "first_name": "ALEXANDER",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS010564L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018756180002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hafsa Khan Tareen, MD
• Kamran Tareen, M.D.
• Fiza Tariq, OD
• Melvin James Tarn Sr.
• Louis Price Tarnoff, D.M.D.
• Barbara Ann Tarnoski, D.M.D.
• Omega Tarnoviski, CRNP
• Kayla Tarnowski
• Faith Tarpeh
• Victoria W Tarpeh, MS, LBS

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• 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.
• 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.

Verify at the official NPI Registry.