Individual provider Active NPI

Michele Linne Hirsch, MD

  • Internal Medicine Physician
  • Phila, PA
National Provider Identifier
1205035730
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD431808 Issued in PA
Practice address
2 Penn Blvd
Suite 111
Phila, PA 19144-1416
Phone
(215) 843-6093
Fax
(215) 951-8956
NPI assigned
Jul 14, 2007
Last updated
Nov 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD431808 PA Primary

Addresses

Primary practice location

2 Penn Blvd
Suite 111
Phila, PA 19144-1416

Mailing address

101 E Olney Ave
Suite 400
Phila, PA 19120-2421
Phone (215) 254-2630

Other names 1

  • Michele Hirsch Former name

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
I20070822000544 PA Practitioner - Internal Medicine 7113019167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lauren Rosen Wellness LLCGroup PAC ID 3870990526, 4 clinicians

Practice addresses (Care Compare)

551 W Lancaster Ave
Suite 205
Haverford, PA 19041-1419
Phone (610) 276-0098

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD431808PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Rosen Wellness LLC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Main Line Healthcare Internal Medicine CurrentSince Sep 22, 2018 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

551 W Lancaster Ave
Ste 205
Haverford, PA 19041
Phone (610) 276-0098

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

306 E Lancaster Ave
Ste 300
Wynnewood, PA 19096
Phone (484) 476-7255

Interoperability endpoints

  • Direct secure messaging: michele.hirsch.1@24228.direct.athenahealth.com

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.

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": "1184371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1205035730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVE",
            "address_2": "SUITE 400",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191202421",
            "telephone_number": "215-254-2630",
            "fax_number": "215-254-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PENN BLVD",
            "address_2": "SUITE 111",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191441416",
            "telephone_number": "215-843-6093",
            "fax_number": "215-951-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "MICHELE",
        "middle_name": "LINNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-14",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD431808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "HIRSCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.