Active NPI
David R. Hertzog, MD
- Vascular & Interventional Radiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- MD027999E
- Practice address
- 2412 W Passyunk Ave Ste 14
Philadelphia, PA 19145-4114 - Phone
- (215) 462-2100
- Fax
- (215) 462-3100
- NPI assigned
- Jun 6, 2006
- Last updated
- Sep 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | MD027999E | PA | Primary |
| Surgery Physician | 208600000X | MD027999E | PA |
Addresses
Primary practice location
2412 W Passyunk Ave Ste 14
Philadelphia, PA 19145-4114
Mailing address
PO Box 416210
Boston, MA 02241-1407
Phone (610) 644-8900
Other practice location 1
7959 Bustleton Ave
Philadelphia, PA 19152-3320
Phone (215) 742-5662
Other practice location 2
25 Crossroads Dr Ste 110
Owings Mills, MD 21117-5444
Phone (410) 363-2192
Other practice location 3
8140 Corporate Dr Ste 125
Baltimore, MD 21236-6901
Phone (410) 931-9729
Other practice location 4
2080 Marlton Pike E
Cherry Hill, NJ 08003-1202
Phone (856) 616-8600
Other practice location 5
2235 Staples Mill Rd Ste 104
Richmond, VA 23230-2942
Phone (804) 355-9729
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3435709 | Medicaid | NJ | |
| MES131 | Other | NJ | OXFORD |
| 36952 | Other | NJ | AETNA |
| 0506464005 | Other | NJ | CIGNA |
| 0045155000 | Other | NJ | AMERIHEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ, MD, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Medical College of Pennsylvania, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2412 W Passyunk Ave
14 Azura Vascular Care South Philadelphia
Philadelphia, PA 19145-4114
Phone (215) 462-2100
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.53 of 100
- Quality
- 67.3
- Promoting interoperability
- 87
- Improvement activities
- 40
- Cost
- 25.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD027999E | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Access Care of Pennsylvania LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| American Access Care of New Jersey, LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| American Access Care of Baltimore LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| American Access Care of Richmond LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| American Access Care of Towson, LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| American Access Care of SP LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| American Access Care of Pennsylvania LLC | Current | Accepting new patients | |
| Fares Surgical Associates, PA | Surgery | Past | Accepting new patients |
| American Access Care of Towson, LLC | Vascular & Interventional Radiology | Past | Accepting new patients |
Locations
8140 Corporate Dr
Ste 125
Nottingham, MD 21236
Phone (410) 321-9729
25 Crossroads Dr
Ste 110
Owings Mills, MD 21117
Phone (410) 363-2192
25 Crossroads Dr
Ste 404
Owings Mills, MD 21117
Phone (410) 363-3897
207 Kings Hwy S
Ste 2
Cherry Hill, NJ 08034
Phone (732) 553-9729
2080 Marlton Pike E
Cherry Hill, NJ 08003
Phone (856) 616-8600
40 Valley Stream Pkwy
Ste 100
Malvern, PA 19355
2412 W Passyunk Ave
Philadelphia, PA 19145
Phone (215) 462-2100
2412 W Passyunk Ave
#14
Philadelphia, PA 19145
Phone (215) 462-2100
2412 W Passyunk Ave
Ste 14
Philadelphia, PA 19145
Phone (215) 462-2100
7959 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 742-5662
2235 Staples Mill Rd
Ste 103
Richmond, VA 23230
Phone (804) 355-9729
2235 Staples Mill Rd
Ste 104
Richmond, VA 23230
Phone (804) 355-9729
Interoperability endpoints
- david.hertzog.p40@direct.aac.nextgenshare.com
- david.hertzog.p60@direct.aac.nextgenshare.com
- david.hertzog.p61@direct.aac.nextgenshare.com
Organizations & group practices 9
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.
-
dba Azura Vascular Care South Philadelphia
- Vascular & Interventional Radiology Physician
- Philadelphia, PA
- NPI 1588639819
-
dba Azura Vascular Care Northeast Philadelphia
- Vascular & Interventional Radiology Physician
- Philadelphia, PA
- NPI 1063487627
-
- Vascular & Interventional Radiology Physician
- Baltimore, MD
- NPI 1366416034
-
- Vascular & Interventional Radiology Physician
- Cherry Hill, NJ
- NPI 1346215985
-
dba Azura Vascular Care River City
- Vascular & Interventional Radiology Physician
- Richmond, VA
- NPI 1407947898
-
- Vascular & Interventional Radiology Physician
- Owings Mills, MD
- NPI 1558698134
-
- Ambulatory Surgical Clinic/Center
- Philadelphia, PA
- NPI 1942516430
-
- Vascular & Interventional Radiology Physician
- Owings Mills, MD
- NPI 1992530703
-
- Surgery Physician
- Trenton, NJ
- NPI 1629024757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1336188945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 416210",
"city": "BOSTON",
"state": "MA",
"postal_code": "022411407",
"telephone_number": "610-644-8900",
"fax_number": "484-924-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2412 W PASSYUNK AVE STE 14",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191454114",
"telephone_number": "215-462-2100",
"fax_number": "215-462-3100"
}
],
"practiceLocations": [
{
"address_1": "7959 Bustleton Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191523320",
"country_code": "US",
"telephone_number": "215-742-5662",
"fax_number": "215-742-5663",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Crossroads Dr Ste 110",
"address_purpose": "LOCATION",
"city": "Owings Mills",
"state": "MD",
"postal_code": "211175444",
"country_code": "US",
"telephone_number": "410-363-2192",
"fax_number": "410-363-2860",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8140 Corporate Dr Ste 125",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212366901",
"country_code": "US",
"telephone_number": "410-931-9729",
"fax_number": "410-931-2133",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2080 Marlton Pike E",
"address_purpose": "LOCATION",
"city": "Cherry Hill",
"state": "NJ",
"postal_code": "080031202",
"country_code": "US",
"telephone_number": "856-616-8600",
"fax_number": "856-616-8601",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2235 Staples Mill Rd Ste 104",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232302942",
"country_code": "US",
"telephone_number": "804-355-9729",
"fax_number": "804-355-9731",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERTZOG",
"first_name": "DAVID",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "PA",
"license": "MD027999E",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD027999E",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3435709",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "MES131",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "36952",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0506464005",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0045155000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.