Individual provider Active NPI

Mohammad Ali Al-Bataineh, MD

  • Cardiovascular Disease Physician
  • Philadelphia, PA
National Provider Identifier
1295783413
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD420870 Issued in PA
Practice address
2945 N 5TH St
Philadelphia, PA 19133-2802
Phone
(267) 457-3977
Fax
(267) 457-3972
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD420870 PA
Cardiovascular Disease Physician 207RC0000X MD420870 PA Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X MD420870 PA

Addresses

Primary practice location

2945 N 5TH St
Philadelphia, PA 19133-2802

Mailing address

2945 N 5TH St
Philadelphia, PA 19133-2802
Phone (267) 457-3977

Other identifiers 1

IdentifierTypeStateIssuer
101437162MedicaidPA

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
I20051129000920 PA Practitioner - Cardiovascular Disease (Cardiology) 1355378654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2301 E Allegheny Ave
Suite 140
Philadelphia, PA 19134-4427
Phone (267) 457-3977

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Consultants of Philadelphia, P.C. Cardiovascular Disease CurrentSince Jan 1, 2026 Accepting new patients
Heart Rhythm Center of Philadelphia, LLC Cardiovascular Disease CurrentSince Jun 1, 2014 Accepting new patients
Philadelphia Health & Education Corp Cardiovascular Disease Past Accepting new patients
Heart Center of Jersey, PA LLC Cardiovascular Disease Past Accepting new patients

Locations

2301 E Allegheny Ave
Ste 140
Philadelphia, PA 19134
Phone (267) 457-3977

207 N Broad St
Fl 3
Philadelphia, PA 19107
Phone (215) 361-5020

2945 N 5th St
Philadelphia, PA 19133
Phone (215) 288-3653

2922 N 5th St
Philadelphia, PA 19133
Phone (267) 457-3977

1703 S Broad St
Ste 300
Philadelphia, PA 19148
Phone (215) 462-7100

2301 E Allegheny Ave
Philadelphia, PA 19134
Phone (215) 282-8000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBAFAD/Endpoint/HBAFAD

Organizations & group practices 4

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1295783413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191332802",
            "telephone_number": "267-457-3977",
            "fax_number": "267-457-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191332802",
            "telephone_number": "267-457-3977",
            "fax_number": "267-457-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-BATAINEH",
        "first_name": "MOHAMMAD",
        "middle_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD420870",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD420870",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PA",
            "license": "MD420870",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101437162",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.