Individual provider Active NPI

David R. Hertzog, MD

  • Vascular & Interventional Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1336188945
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD027999E Issued in PA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3435709MedicaidNJ
MES131OtherNJOXFORD
36952OtherNJAETNA
0506464005OtherNJCIGNA
0045155000OtherNJAMERIHEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, MD, VA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20070918000390 PA Practitioner - Interventional Radiology 7810929486 Reassigns benefits to 2 organizations
I20150227000312 NJ Practitioner - Interventional RadiologyPractitioner - General Surgery 7810929486 Reassigns benefits to 1 organization
I20160219001757 MD Practitioner - Interventional RadiologyPractitioner - General Surgery 7810929486 Reassigns benefits to 2 organizations
I20170127000455 VA Practitioner - Interventional Radiology 7810929486 Reassigns benefits to 1 organization

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
American Access Care of SP LLCGroup PAC ID 2365411469, 6 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
MD027999EPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Access Care of Pennsylvania LLC Vascular & Interventional Radiology CurrentSince Jan 13, 2020 Accepting new patients
American Access Care of New Jersey, LLC Vascular & Interventional Radiology CurrentSince Feb 1, 2015 Accepting new patients
American Access Care of Baltimore LLC Vascular & Interventional Radiology CurrentSince Dec 1, 2025 Accepting new patients
American Access Care of Richmond LLC Vascular & Interventional Radiology CurrentSince Nov 7, 2016 Accepting new patients
American Access Care of Towson, LLC Vascular & Interventional Radiology CurrentSince Jan 18, 2016 Accepting new patients
American Access Care of SP LLC Vascular & Interventional Radiology CurrentSince Feb 1, 2015 Accepting new patients
American Access Care of Pennsylvania LLC CurrentSince Jan 13, 2020 Accepting new patients
Fares Surgical Associates, PA Surgery PastSince Sep 2, 2005 Accepting new patients
American Access Care of Towson, LLC Vascular & Interventional Radiology PastSince Sep 8, 2024 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

  • Direct secure messaging: david.hertzog.p40@direct.aac.nextgenshare.com
  • Direct secure messaging: david.hertzog.p60@direct.aac.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.