Organization Active NPI

Kabbani Foot and Ankle Associates

  • Foot & Ankle Surgery Podiatrist
  • Philadelphia, PA
National Provider Identifier
1174990337
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC003242L Issued in PA
Legal business name
KABBANI FOOT AND ANKLE ASSOCIATES
Practice address
2516 Germantown Ave
Philadelphia, PA 19133-1635
Phone
(267) 625-4312
Fax
(215) 229-7954
NPI assigned
Aug 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Authorized official

Name
Dr. Youssef Kabbani, DPMNPI 1922059559
Title
General Partner
Phone
(267) 625-4312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X SC003242L PA Primary

Addresses

Primary practice location

2516 Germantown Ave
Philadelphia, PA 19133-1635

Mailing address

2516 Germantown Ave
Philadelphia, PA 19133-1635
Phone (267) 625-4312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151223001753 PA Part B Supplier - Clinic/Group Practice 2769783307 Receives reassigned benefits from 1 practitioner
Practice locations: Lancaster, PA; Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

1875 Lititz Pike
Ste 1
Lancaster, PA 17601
Phone (717) 560-1970

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1174990337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191331635",
            "telephone_number": "267-625-4312",
            "fax_number": "215-229-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191331635",
            "telephone_number": "267-625-4312",
            "fax_number": "215-229-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KABBANI FOOT AND ANKLE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "KABBANI",
        "authorized_official_first_name": "YOUSSEF",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "267-625-4312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC003242L",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.