Hal Bradley Ganzman, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS007829-L Issued in PA

Practice address

12401 Academy Rd
Suite 203
Philadelphia, PA 19154-1932

Phone

(215) 637-3100

NPI assigned

Dec 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Physicians Group LLCGroup PAC ID 2769631621, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Redeemer Home Care-PA Home health agency, Philadelphia, PA, CCN 397104
• Mercy Home Health Home health agency, Newtown, PA, CCN 397015
• Jefferson Health at Home by Bayada Home health agency, Philadelphia, PA, CCN 397643
• Gentiva I Hospice, Blue Bell, PA, CCN 391622
• Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115
• Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hal.ganzman@612355303342084.direct.elationemr.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Pinnacle Physicians Group LLC

  • Family Medicine Physician
  • Trevose, PA
  • NPI 1184984809
  Medicare reassignment Care Compare group NPD
• Parkwood Medical Practice PC

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1861516528
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holy Redeemer Health System

  • Home Health Agency
  • Philadelphia, PA
  • NPI 1972577617
  Care Compare affiliation Name & address match
• Jefferson Health - Northeast

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1801963343
  Care Compare affiliation Name & address match
• Holy Redeemer Health System

  • General Acute Care Hospital
  • Meadowbrook, PA
  • NPI 1750371522
  Care Compare affiliation
• Jeffhome PA, LLC.

  • Home Health Agency
  • Philadelphia, PA
  • NPI 1700533049
  Care Compare affiliation
• Mercy Home Health

  • Home Health Agency
  • Newtown, PA
  • NPI 1467412296
  Care Compare affiliation
• Vistacare USA, LLC

  • Community Based Hospice Care Agency
  • Blue Bell, PA
  • NPI 1164478103
  Care Compare affiliation

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285794545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 ACADEMY RD",
            "address_2": "SUITE 203",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191541932",
            "telephone_number": "215-637-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 ACADEMY RD",
            "address_2": "SUITE 203",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191541932",
            "telephone_number": "215-637-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANZMAN",
        "first_name": "HAL",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS007829-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01667778",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Gant, LCSW
• Niharika Ganta, MD
• Dotti Gantz
• Jonah Louis Gantz, OTR/L
• Casey Lynn Ganz-Leary, MA, LPC
• Chenxia Gao
• Cristy Yang Gao
• David Gao
• Emily Gao
• Hans Mingjian Gao, MD

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.