Active NPI
Rasih Atilla Ener, MD
- Cardiovascular Disease Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD-059823-L
- Practice address
- Philadelphia VA Medical Center
3900 Woodland Avenue
Philadelphia, PA 19104 - Phone
- (215) 823-5800
- NPI assigned
- Oct 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD-059823-L | PA | Primary |
Addresses
Primary practice location
Philadelphia VA Medical Center
3900 Woodland Avenue
Philadelphia, PA 19104
Mailing address
3900 Woodland Ave
Philadelphia, PA 19104-4551
Phone (215) 823-5800
Other practice location 1
3900 Woodland Ave
Philadelphia, PA 19104-4551
Phone (215) 823-5800
Other practice location 2
3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-4733
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-059823-L | PA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Grove Clinic Company LLC | Current | Accepting new patients | |
| West Grove Clinic Company LLC | Cardiovascular Disease | Current | Accepting new patients |
Locations
1011 W Baltimore Pike
Ste 307
West Grove, PA 19390
Phone (610) 869-1240
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 and National Provider Directory roles.
-
- Family Medicine Physician
- West Grove, PA
- NPI 1790856078
Cardiovascular Disease
-
- Neurology Physician
- West Grove, PA
- NPI 1093355992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1215926969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 WOODLAND AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044551",
"telephone_number": "215-823-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PHILADELPHIA VA MEDICAL CENTER",
"address_2": "3900 WOODLAND AVENUE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-823-5800"
}
],
"practiceLocations": [
{
"address_1": "3900 Woodland Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044551",
"country_code": "US",
"telephone_number": "215-823-5800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3401 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191405103",
"country_code": "US",
"telephone_number": "215-707-4733",
"fax_number": "215-707-3946",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENER",
"first_name": "RASIH",
"middle_name": "ATILLA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2023-01-04",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD-059823-L",
"primary": true
}
],
"identifiers": [],
"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 Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.