Individual provider Active NPI

Sarah Ruth Defelice

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1245908094
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4170 City Ave
Philadelphia, PA 19131-1610
Phone
(215) 871-6100
NPI assigned
Sep 4, 2021
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

4170 City Ave
Philadelphia, PA 19131-1610

Mailing address

4170 City Ave
Philadelphia, PA 19131-1610
Phone (215) 871-6100

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230218000073 PA Practitioner - Physician Assistant 6901278068 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
On Demand Urgent Care Group PCGroup PAC ID 5991029712, 95 clinicians
Patient Care Now LLCGroup PAC ID 6305161167, 13 clinicians

Practice addresses (Care Compare)

1420 Chestnut St
Philadelphia, PA 19102-2505
Phone (215) 999-1420

1500 Spring Garden St
Suite R105
Philadelphia, PA 19130-4067
Phone (267) 768-8288

3356 Aramingo Ave
Philadelphia, PA 19134-4506
Phone (215) 999-3356

4190 City Ave
Suite 101
Philadelphia, PA 19131-1627
Phone (215) 857-5300

541 S Oxford Valley Rd
Fairless Hills, PA 19030-2612
Phone (267) 202-6433

618 Market St
Philadelphia, PA 19106-2310
Phone (215) 583-0618

Merit-based Incentive Payment System (MIPS)

Final score
86.37 of 100Reported as group
Quality
70.23
Promoting interoperability
100
Improvement activities
40
Cost
77.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
On Demand Urgent Care Group PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sarah.defelice.1@14965.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1245908094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 CITY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311610",
            "telephone_number": "215-871-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 CITY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311610",
            "telephone_number": "215-871-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFELICE",
        "first_name": "SARAH",
        "middle_name": "RUTH",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-04",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.