Individual provider Active NPI

Sonela Skenderi, D.O

  • Cardiovascular Disease Physician
  • Philadelphia, PA
National Provider Identifier
1275733669
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS015451 Issued in PA
Practice address
1200 W Tabor Rd FL 3
Philadelphia, PA 19141-3019
Phone
(215) 456-3930
Fax
(215) 456-1432
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OS015451 PA Primary

Addresses

Primary practice location

1200 W Tabor Rd FL 3
Philadelphia, PA 19141-3019

Mailing address

101 E Olney Ave Ste 400
Philadelphia, PA 19120-2470
Phone (215) 456-7000

Other practice location 1

5753 Wayne Ave
Philadelphia, PA 19144-3347
Phone (215) 456-3930

Other practice location 2

401 Township Line Rd Ste A
Elkins Park, PA 19027-2277
Phone (215) 663-1188

Other practice location 3

9880 Bustleton Ave Ste 220
Philadelphia, PA 19115-2143
Phone (215) 827-1500

Other identifiers 1

IdentifierTypeStateIssuer
102891940001MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131028000424 PA Practitioner - Cardiovascular Disease (Cardiology) 2961637095 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Philadelphia College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

5501 Old York Rd
Phila, PA 19141-3018
Phone (215) 456-3930

Hospital & facility affiliations

  • Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142
  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231
  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115
  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc Cardiovascular Disease CurrentSince Apr 1, 2024 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Nov 11, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Nov 11, 2023 Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients
Albert Einstein Medical Center Past Accepting new patients
Trinity Health Mid-Atlantic Medical Group Cardiovascular Disease Past Accepting new patients

Locations

401 Township Line Rd
Ste A
Elkins Park, PA 19027
Phone (215) 663-1188

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

9880 Bustleton Ave
Ste 220
Philadelphia, PA 19115
Phone (215) 456-7900

9880 Bustleton Ave
Ste 2
Philadelphia, PA 19115
Phone (215) 827-1500

5753 Wayne Ave
Philadelphia, PA 19144
Phone (215) 848-8800

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

2630 Holme Ave
Ste 200
Philadelphia, PA 19152
Phone (215) 332-3972

2701 Holme Ave
Ste 100
Philadelphia, PA 19152
Phone (215) 335-3972

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5501 Old York Rd
Bldg 3RD
Philadelphia, PA 19141
Phone (215) 456-3930

1200 W Tabor Rd
Fl 3
Philadelphia, PA 19141
Phone (215) 456-3930

8012 Frankford Ave
Philadelphia, PA 19136
Phone (215) 516-6828

Interoperability endpoints

  • Direct secure messaging: sskenderi2019574@direct.trinity-health.org

Organizations & group practices 8

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 4

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1275733669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVE STE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202470",
            "telephone_number": "215-456-7000",
            "fax_number": "215-456-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W TABOR RD FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413019",
            "telephone_number": "215-456-3930",
            "fax_number": "215-456-1432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5753 Wayne Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191443347",
            "country_code": "US",
            "telephone_number": "215-456-3930",
            "fax_number": "215-456-1432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Township Line Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Elkins Park",
            "state": "PA",
            "postal_code": "190272277",
            "country_code": "US",
            "telephone_number": "215-663-1188",
            "fax_number": "215-663-9152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9880 Bustleton Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191152143",
            "country_code": "US",
            "telephone_number": "215-827-1500",
            "fax_number": "215-455-1933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKENDERI",
        "first_name": "SONELA",
        "name_prefix": "Mrs.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS015451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102891940001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.