NPIMap

Individual provider Active NPI

Eyob L Feyssa, MD, MPH, FACP

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1184779415
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD430800 Issued in PA
Practice address
5401 Old York Rd
Klein Suite 505
Philadelphia, PA 19141-3030
Phone
(215) 456-8242
Fax
(215) 456-8058
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Hepatology Physician 207RI0008X M5704 TX
Hepatology Physician 207RI0008X 25MA08117400 NJ
Internal Medicine Physician 207R00000X MD430800 PA Primary
Gastroenterology Physician 207RG0100X MD430800 PA
Hepatology Physician 207RI0008X MD430800 PA

Addresses

Primary practice location

5401 Old York Rd
Klein Suite 505
Philadelphia, PA 19141-3030

Mailing address

5401 Old York Rd
Klein Suite 505
Philadelphia, PA 19141-3030
Phone (215) 456-8242

Other identifiers 1

IdentifierTypeStateIssuer
101978752MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070831000322 PA Practitioner - Internal Medicine 2264525559 Reassigns benefits to 4 organizations
I20220923002346 NJ Practitioner - Internal Medicine 2264525559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

301 S 7TH Ave
West Reading, PA 19611-1410
Phone (215) 662-6200

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
  • Reading Hospital Hospital, West Reading, PA, CCN 390044
  • Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Pottstown Hospital Hospital, Pottstown, PA, CCN 390123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08117400NJMDHepatology Physician
M5704TXMDHepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reading Hospital CurrentSince Aug 26, 2019 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jul 1, 2007 Accepting new patients
Tower Health Medical Group Internal Medicine Current Accepting new patients
Tower Health Medical Group CurrentSince Aug 26, 2019 Accepting new patients
Reading Hospital Current Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Internal Medicine Current Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince Dec 14, 2021 Accepting new patients
Reading Hospital CurrentSince Aug 26, 2019 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Dec 14, 2021 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Internal Medicine CurrentSince Jul 10, 2022 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Internal Medicine CurrentSince Jul 10, 2022 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jul 1, 2007 Accepting new patients
Tower Health Medical Group CurrentSince Aug 26, 2019 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Internal Medicine Past Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients

Locations

1865 Route 70 E
Ste 210
Cherry Hill, NJ 08003
Phone (856) 427-4336

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

5 Plainsboro Rd
Ste 450
Plainsboro, NJ 08536
Phone (609) 477-3025

155 Medical Center Way
Fl 3
Somers Point, NJ 08244
Phone (609) 365-6239

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

315 Darby Sq
Elverson, PA 19520
Phone (610) 898-5240

2106 Harrisburg Pike
Ste 310
Lancaster, PA 17601
Phone (717) 544-0545

5401 Old York Rd
Ste 505
Philadelphia, PA 19141
Phone (215) 456-6933

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5501 York Rd
Ste 202
Philadelphia, PA 19141
Phone (215) 254-2630

5401 Old York Rd
#B
Philadelphia, PA 19141
Phone (215) 324-3399

824 Main St
Ste 307
Phoenixville, PA 19460
Phone (610) 482-6500

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

301 S 7th Ave
Ste 3120
West Reading, PA 19611
Phone (484) 628-2445

301 S 7th Ave
West Reading, PA 19611
Phone (610) 374-2214

301 S 7th Ave
Ste 2070
West Reading, PA 19611
Phone (484) 628-0028

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

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

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1184779415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 OLD YORK RD",
            "address_2": "KLEIN SUITE 505",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413030",
            "telephone_number": "215-456-8242",
            "fax_number": "215-456-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 OLD YORK RD",
            "address_2": "KLEIN SUITE 505",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413030",
            "telephone_number": "215-456-8242",
            "fax_number": "215-456-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEYSSA",
        "first_name": "EYOB",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD, MPH, FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "TX",
            "license": "M5704",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "NJ",
            "license": "25MA08117400",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD430800",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD430800",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "PA",
            "license": "MD430800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101978752",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.