NPIMap

Individual provider Active NPI

Stefan T. Tachev, M.D.

  • Nephrology Physician
  • Exton, PA
National Provider Identifier
1295778108
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD420924 Issued in PA
Practice address
860 Springdale Dr #100
Exton, PA 19341
Phone
(610) 872-8501
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD420924 PA
Specialist 174400000X 25MA07674900 NJ
Nephrology Physician 207RN0300X MD420924 PA Primary

Addresses

Primary practice location

860 Springdale Dr #100
Exton, PA 19341

Mailing address

860 Springdale Dr #100
Exton, PA 19341
Phone (610) 872-8501

Other identifiers 1

IdentifierTypeStateIssuer
092465MedicaidNJ

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
I20051003000732 PA Practitioner - NephrologyPractitioner - Internal Medicine 2567498421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Renal Associates LLCGroup PAC ID 6901881366, 33 clinicians

Practice addresses (Care Compare)

860 Springdale Dr
Suite 100
Exton, PA 19341-2834
Phone (610) 524-3703

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.59 of 100Reported as group
Quality
74.34
Promoting interoperability
100
Improvement activities
40
Cost
75.79

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Renal Associates, LLC Nephrology CurrentSince Sep 16, 2009 Accepting new patients
Main Line Healthcare CurrentSince Jul 2, 2026 Accepting new patients

Locations

30 Medical Center Blvd
Ste 303
Chester, PA 19013

860 Springdale Dr
Ste 100
Exton, PA 19341
Phone (610) 524-3703

255 W Lancaster Ave
Ste 200
Paoli, PA 19301
Phone (610) 524-3703

250 W Lancaster Ave
Ste 225
Paoli, PA 19301
Phone (610) 647-0400

Interoperability endpoints

  • Direct secure messaging: stefan.tachev.1@3389.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3389/brand/1/csg/21/fhir/r4
  • Direct secure messaging: tachevs@yourcarecommunity.org

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1295778108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 SPRINGDALE DR #100",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "19341",
            "telephone_number": "610-872-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 SPRINGDALE DR #100",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "19341",
            "telephone_number": "610-872-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACHEV",
        "first_name": "STEFAN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD420924",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07674900",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD420924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092465",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.