Active NPI
Amy K Lansman, MD
- Body Imaging Physician
- Philadelphia, PA
National Provider Identifier
1194836221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- MD030479E
- 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, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0110566010 | Medicaid | PA | |
| 0110566010 | Other | PA | AMERICHOICE |
| 1164010 | Other | PA | KEYSTONE |
| 1194836221 | Other | PA | TRICARE |
| LA480481 | Other | PA | BCBS |
| 0057539000 | Other | PA | KEYSTONE 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD030479E | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba National Medical Imaging
- Body Imaging Physician
- Philadelphia, PA
- NPI 1164536827
-
dba Akumin
- Diagnostic Radiology Physician
- Bryn Mawr, PA
- NPI 1962458034
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.