Individual provider Active NPI

Savvas Andronikou, MD

  • Body Imaging Physician
  • Philadelphia, PA
National Provider Identifier
1174088074
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
MD466420 Issued in PA
Practice address
3401 Civic Center Blvd Dept 3NW41
Philadelphia, PA 19104-4319
Phone
(267) 426-2140
Fax
(267) 425-7068
NPI assigned
Feb 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD466420 PA
Body Imaging Physician 2085B0100X MD466420 PA Primary

Addresses

Primary practice location

3401 Civic Center Blvd Dept 3NW41
Philadelphia, PA 19104-4319

Mailing address

3401 Civic Center Blvd Dept 3NW41
Philadelphia, PA 19104-4319
Phone (267) 426-2140

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
I20190808000655 PA Practitioner - Diagnostic Radiology 0143557561 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD466420PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Jun 25, 2019 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince Jun 25, 2019 Accepting new patients
Geisinger Clinic CurrentSince Oct 18, 2021 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Oct 18, 2021 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Geisinger Clinic Current Accepting new patients
University of Penn-Medical Group CurrentSince Jun 25, 2019 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jun 25, 2019 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

1840 South St
Ste 3
Philadelphia, PA 19146
Phone (215) 546-1893

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1174088074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 CIVIC CENTER BLVD DEPT 3NW41",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044319",
            "telephone_number": "267-426-2140",
            "fax_number": "267-425-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 CIVIC CENTER BLVD DEPT 3NW41",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044319",
            "telephone_number": "267-426-2140",
            "fax_number": "267-425-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRONIKOU",
        "first_name": "SAVVAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD466420",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "PA",
            "license": "MD466420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.