NPIMap

Individual provider Active NPI

Laura Oppenheim, MD

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1275695629
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD436146 Issued in PA
Practice address
Suite 401 211 S. 9TH Street
Ninth Street Internal Medicine
Philadelphia, PA 19107
Phone
(215) 440-8681
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT188601 PA
Family Medicine Physician 207Q00000X MD436146 PA Primary

Addresses

Primary practice location

Suite 401 211 S. 9TH Street
Ninth Street Internal Medicine
Philadelphia, PA 19107

Mailing address

Suite 401 211 S. 9TH Street
Ninth Street Internal Medicine
Philadelphia, PA 19107
Phone (215) 440-8681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090910000211 PA Practitioner - Family Practice 6507911864 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center City Personalized Care PCGroup PAC ID 4789163890, 6 clinicians
Ninth Street Internal Medicine Associates LTDGroup PAC ID 5799763702, 14 clinicians

Practice addresses (Care Compare)

805 Locust St
Philadelphia, PA 19107-5507
Phone (215) 940-9925

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT188601PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center City Personalized Care, PC Family Medicine CurrentSince Sep 5, 2025 Accepting new patients
Ninth Street Internal Medicine Associates LTD CurrentSince Nov 20, 2010 Accepting new patients

Locations

805 Locust St
Philadelphia, PA 19107
Phone (215) 440-8681

834 Chestnut St
Ste M202
Philadelphia, PA 19107
Phone (215) 940-9925

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACJBAA
  • Direct secure messaging: laura.oppenheim@nsim.eclinicaldirectplus.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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1275695629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUITE 401 211 S. 9TH STREET",
            "address_2": "NINTH STREET INTERNAL MEDICINE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-440-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 401 211 S. 9TH STREET",
            "address_2": "NINTH STREET INTERNAL MEDICINE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-440-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPENHEIM",
        "first_name": "LAURA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT188601",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD436146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.