Individual provider Active NPI

Amy K Lansman, MD

  • Body Imaging Physician
  • Philadelphia, PA
National Provider Identifier
1194836221
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
MD030479E Issued in PA
Practice address
1919 Walnut St
Philadelphia, PA 19103-4609
Phone
(215) 564-2800
Fax
(215) 564-3097
NPI assigned
Aug 31, 2006
Last updated
Mar 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X MD030479E PA Primary
Nuclear Radiology Physician 2085N0904X MD030479E PA
Diagnostic Radiology Physician 2085R0202X MD030479E PA
Diagnostic Ultrasound Physician 2085U0001X MD030479E PA

Addresses

Primary practice location

1919 Walnut St
Philadelphia, PA 19103-4609

Mailing address

PO Box 30537
Philadelphia, PA 19103-8537
Phone (215) 564-2800

Other identifiers 6

IdentifierTypeStateIssuer
0110566010MedicaidPA
0110566010OtherPAAMERICHOICE
1164010OtherPAKEYSTONE
1194836221OtherPATRICARE
LA480481OtherPABCBS
0057539000OtherPAKEYSTONE HMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD030479EPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
National Imaging P.C. Body Imaging Past Accepting new patients
Rittenhouse Imaging Center, LLC Diagnostic Radiology Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1194836221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30537",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191038537",
            "telephone_number": "215-564-2800",
            "fax_number": "215-564-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 WALNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034609",
            "telephone_number": "215-564-2800",
            "fax_number": "215-564-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANSMAN",
        "first_name": "AMY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "PA",
            "license": "MD030479E",
            "primary": true
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "PA",
            "license": "MD030479E",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD030479E",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "PA",
            "license": "MD030479E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110566010",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "0110566010",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "1164010",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1194836221",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "LA480481",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HMO",
            "identifier": "0057539000",
            "state": "PA"
        }
    ],
    "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 Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.