Active NPI
Dimitri D. Markov, M.D.
- Sleep Medicine (Psychiatry & Neurology) Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- License
- MD420226
- Practice address
- 211 S 9TH St
Suite 500
Philadelphia, PA 19107-6810 - Phone
- (215) 955-6175
- Fax
- (215) 955-9783
- NPI assigned
- Jul 28, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD420226 | PA | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | MD420226 | PA | Primary |
Addresses
Primary practice location
211 S 9TH St
Suite 500
Philadelphia, PA 19107-6810
Mailing address
211 S 9TH St
Suite 500
Philadelphia, PA 19107-6810
Phone (215) 955-6175
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1490030 | Other | PA | BLUE SHIELD OF PA |
| 2179723000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 7681568 | Other | PA | AETNA |
| 0019717210002 | Medicaid | PA | |
| 1490030 | Other | PA | PERSONAL CHOICE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Hahnemann University College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
211 S 9TH St
Suite 500
Philadelphia, PA 19107-6810
Phone (215) 955-6175
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD420226 | PA | MD | Sleep Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Current | Accepting new patients | |
| Jefferson University Physicians | Past | Accepting new patients |
Locations
211 S 9th St
Ste 500
Philadelphia, PA 19107
Phone (215) 955-6175
3 Crescent Dr
Ste 100
Philadelphia, PA 19112
Phone (215) 503-3300
1020 Sansom St
Ste 1652
Philadelphia, PA 19107
Phone (215) 955-5379
111 S 11th St
Philadelphia, PA 19107
Phone (215) 955-6161
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
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.
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
-
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468281600000",
"number": "1235143223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 S 9TH ST",
"address_2": "SUITE 500",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191076810",
"telephone_number": "215-955-6175",
"fax_number": "215-955-9783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 S 9TH ST",
"address_2": "SUITE 500",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191076810",
"telephone_number": "215-955-6175",
"fax_number": "215-955-9783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKOV",
"first_name": "DIMITRI",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2016-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD420226",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "PA",
"license": "MD420226",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF PA",
"identifier": "1490030",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN EAST",
"identifier": "2179723000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7681568",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019717210002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "1490030",
"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 Jul 12, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.