NPIMap

Individual provider Active NPI

Teodora Ann Schellato, D.O

  • Urology Physician
  • Philadelphia, PA
National Provider Identifier
1184839698
Registry record updated Jan 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
OS013079 Issued in PA
Practice address
7604 Central Ave
Suite 104
Philadelphia, PA 19111-2433
Phone
(215) 745-4130
NPI assigned
May 10, 2007
Last updated
Jan 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Urology Physician 208800000X OS013079 PA Primary

Addresses

Primary practice location

7604 Central Ave
Suite 104
Philadelphia, PA 19111-2433

Mailing address

7604 Central Ave
Suite 104
Philadelphia, PA 19111-2433
Phone (215) 745-4130

Other identifiers 4

IdentifierTypeStateIssuer
3724847000OtherPAINDEPENDENCE BLUE CROSS
1023982290001MedicaidPA
168067OtherPAMEDICARE UNSPECIFIED
2109882OtherPAPA BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091210000020 PA Practitioner - Urology 4880733575 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Philadelphia College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7604 Central Ave
Philadelphia, PA 19111-2433
Phone (215) 745-4130

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.14 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
67.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS013079PAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Health Surgery Center, LLC CurrentSince Jan 1, 2026 Accepting new patients
Bala ASC Urology CurrentSince Dec 17, 2021 Accepting new patients
Urology Health Surgery Center, LLC CurrentSince Jan 1, 2026 Accepting new patients
325 ASC, LLC CurrentSince Jan 1, 2026 Accepting new patients
Alliance Physician Services, PC Urology CurrentSince Oct 2, 2018 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Urology Past Accepting new patients
Alliance Physician Services, PC Urology Past Accepting new patients

Locations

1235 Old York Rd
Ste 218
Abington, PA 19001
Phone (215) 517-1100

1 Presidential Blvd
Ste 100
Bala Cynwyd, PA 19004
Phone (610) 632-4100

1800 Byberry Rd
Ste 1203
Huntingdon Valley, PA 19006
Phone (215) 517-1100

1800 Byberry Rd
Ste 1204
Huntingdon Vy, PA 19006
Phone (215) 517-1100

211 S Gulph Rd
Ste 200
Kng of Prussa, PA 19406
Phone (610) 382-5910

325 W Germantown Pike
Ste 100
Norristown, PA 19403
Phone (610) 272-1881

231 N Broad St
Fl 2
Philadelphia, PA 19107
Phone (215) 762-3200

7604 Central Ave
#103
Philadelphia, PA 19111
Phone (215) 745-4130

7604 Central Ave
Ste 104
Philadelphia, PA 19111
Phone (215) 742-2100

400 Davis Dr
Ste 200B
Plymouth Meeting, PA 19462
Phone (215) 242-8260

817 Lawn Ave
Sellersville, PA 18960
Phone (215) 257-5071

656 E Swedesford Rd
Ste 100
Wayne, PA 19087
Phone (484) 253-1697

656 E Swedesford Rd
Ste 120
Wayne, PA 19087
Phone (610) 273-5320

Interoperability endpoints

  • Direct secure messaging: teodora.schellato@direct.einstein.edu
  • Direct secure messaging: teodoraschellato@midlantic.medalliesdirect.net
  • Direct secure messaging: tschellato2022858@direct.trinity-health.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295136000000",
    "number": "1184839698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7604 CENTRAL AVE",
            "address_2": "SUITE 104",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112433",
            "telephone_number": "215-745-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7604 CENTRAL AVE",
            "address_2": "SUITE 104",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112433",
            "telephone_number": "215-745-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELLATO",
        "first_name": "TEODORA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2011-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "OS013079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "3724847000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023982290001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UNSPECIFIED",
            "identifier": "168067",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "2109882",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.