Individual provider Active NPI

Paul Nicolas Fiorilli, M.D.

  • Interventional Cardiology Physician
  • Philadelphia, PA
National Provider Identifier
1194040436
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD453034 Issued in PA
Practice address
3400 Civic Center Blvd FL 11
Philadelphia, PA 19104-5159
Phone
(267) 324-7522
NPI assigned
Mar 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD453034 PA
Interventional Cardiology Physician 207RI0011X MD453034 PA Primary

Addresses

Primary practice location

3400 Civic Center Blvd FL 11
Philadelphia, PA 19104-5159

Mailing address

3400 Civic Center Blvd FL 11
Philadelphia, PA 19104-5159
Phone (267) 324-7522

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
I20180521000411 PA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2961645478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Georgetown University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127
Phone (215) 615-4949

Hospital & facility affiliations

  • Penn Medicine Home Health Princeton Health Home health agency, Princeton, NJ, CCN 317045
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010
  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223
  • Pennsylvania Hospital Hospital, Philadelphia, PA, CCN 390226

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting23
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD453034PAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn - Medical Group Cardiovascular Disease CurrentSince Jul 1, 2018 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Nov 16, 2022 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Cardiovascular Disease CurrentSince Nov 16, 2022 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2018 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
Trustees of the University of Pennsylvania Past Accepting new patients

Locations

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

3400 Civic Center Blvd
Fl 2
Philadelphia, PA 19104

3400 Civic Center Blvd
Ste 2E
Philadelphia, PA 19104
Phone (215) 615-0820

51 N 39th St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-9010

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

600 E Marshall St
Ste 303
West Chester, PA 19380
Phone (610) 436-1584

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

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1194040436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD FL 11",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045159",
            "telephone_number": "267-324-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD FL 11",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045159",
            "telephone_number": "267-324-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORILLI",
        "first_name": "PAUL",
        "middle_name": "NICOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-30",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD453034",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD453034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.