Individual provider Active NPI

Alanna Marie Ticali

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1326625161
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD484745 Issued in PA
Practice address
1316 W Ontario St
Philadelphia, PA 19140-5220
Phone
(215) 707-2400
Fax
(215) 707-4034
NPI assigned
Mar 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD484745 PA Primary

Addresses

Primary practice location

1316 W Ontario St
Philadelphia, PA 19140-5220

Mailing address

3509 N Broad St
Philadelphia, PA 19140-4105
Phone (215) 707-2433

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
I20240621000328 PA Practitioner - Family Practice 4284034760 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Perelman School of Med at the University of Pennsylvania, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fair Hill Community PhysiciansGroup PAC ID 1850746215, 11 clinicians
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

1300 W Lehigh Ave
Philadelphia, PA 19132-2760
Phone (215) 226-8800

1316 W Ontario St
Philadelphia, PA 19140-5220
Phone (215) 707-8496

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
49.71
Promoting interoperability
100
Improvement activities
40
Cost
74.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan, Inc CurrentSince Jun 1, 2024 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Jun 1, 2024 Accepting new patients
Fair Hill Community Physicians Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Spectrum Health Services, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Spectrum Health Services, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Spectrum Health Services Inc Past Accepting new patients

Locations

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

1415 N Broad St
Ste 224
Philadelphia, PA 19122
Phone (267) 275-4095

3500 N Broad St
Rm 1A
Philadelphia, PA 19140
Phone (215) 707-2433

1300 W Lehigh Ave
Philadelphia, PA 19132
Phone (215) 226-8800

133 W Hunting Park Ave
Philadelphia, PA 19140
Phone (215) 324-0600

5201 Haverford Ave
Philadelphia, PA 19139
Phone (215) 472-6097

1316 W Ontario St
Philadelphia, PA 19140
Phone (215) 707-2400

3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1326625161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404105",
            "telephone_number": "215-707-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 W ONTARIO ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405220",
            "telephone_number": "215-707-2400",
            "fax_number": "215-707-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICALI",
        "first_name": "ALANNA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD484745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.