Active NPI
Halfdan Bau-Madsen, D.O.
- Emergency Medicine Physician
- Philadelphia, PA
National Provider Identifier
1235334616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS013928
- Practice address
- 3998 Red Lion Rd
Emergency Department
Philadelphia, PA 19114-1436 - Phone
- (215) 612-4963
- Fax
- (215) 612-4532
- NPI assigned
- Jun 18, 2007
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS013928 | PA | Primary |
Addresses
Primary practice location
3998 Red Lion Rd
Emergency Department
Philadelphia, PA 19114-1436
Mailing address
PO Box 8500-6336
Philadelphia, PA 19178-0001
Phone (215) 807-8000
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1019828620002 | Medicaid | PA | |
| 30044985 | Other | PA | KEYSTONE MERCY |
| 452729 | Other | PA | AETNA CONTRACT |
| 0730941000 | Other | PA | KEYSTONE IBC |
| 1019828620003 | Medicaid | PA | |
| 1019828620001 | Medicaid | PA | |
| 39138 | Other | PA | HEALTH PARTNERS |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS013928 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Health Physician Services Physical Medicine & Rehab | Past | Accepting new patients | |
| Aria Health Physicians Services - Emergency Medicine | Emergency Medicine | Past | Accepting new patients |
| Aria Health Physician Services | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Paoli, PA
- NPI 1316919368
-
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1346275526
-
- Physical Medicine & Rehabilitation Physician
- Philadelphia, PA
- NPI 1790810653
-
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1053456079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1235334616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8500-6336",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780001",
"telephone_number": "215-807-8000",
"fax_number": "215-807-8235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3998 RED LION RD",
"address_2": "EMERGENCY DEPARTMENT",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191141436",
"telephone_number": "215-612-4963",
"fax_number": "215-612-4532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAU-MADSEN",
"first_name": "HALFDAN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-18",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OS013928",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1019828620002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "30044985",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA CONTRACT",
"identifier": "452729",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE IBC",
"identifier": "0730941000",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1019828620003",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1019828620001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "39138",
"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 May 19, 2008; 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.