Active NPI
Rossitza Anguelova Draganova-Tacheva, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD435303
- Practice address
- 132 S 10TH St
Suite 285K
Philadelphia, PA 19107-5244 - Phone
- (215) 503-5642
- Fax
- (215) 503-4817
- NPI assigned
- Mar 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD435303 | PA | Primary |
Addresses
Primary practice location
132 S 10TH St
Suite 285K
Philadelphia, PA 19107-5244
Mailing address
132 S 10TH St
Suite 285K
Philadelphia, PA 19107-5244
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0264679 | Medicaid | NJ | |
| 102608925 | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 E Marshall St
West Chester, PA 19380-4412
Phone (610) 431-5018
Hospital & facility affiliations
- Chester County Hospital
- Hospital of Univ of Pennsylvania
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Chester County Hospital | Current | Accepting new patients | |
| Chester County Hospital | Current | Accepting new patients | |
| Jefferson University Physicians | Past | Accepting new patients |
Locations
132 S 10th St
Ste 285K
Philadelphia, PA 19107
Phone (215) 503-5642
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000
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.
-
- General Acute Care Hospital
- West Chester, PA
- NPI 1356333579
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
Anatomic Pathology & Clinical Pathology
-
- Community/Retail Pharmacy
- West Chester, PA
- NPI 1225698186
-
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Chester, PA
- NPI 1356333579
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471392000000",
"number": "1336380641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 S 10TH ST",
"address_2": "SUITE 285K",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 S 10TH ST",
"address_2": "SUITE 285K",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075244",
"telephone_number": "215-503-5642",
"fax_number": "215-503-4817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAGANOVA-TACHEVA",
"first_name": "ROSSITZA",
"middle_name": "ANGUELOVA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-16",
"last_updated": "2016-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PA",
"license": "MD435303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0264679",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102608925",
"state": "PA"
}
],
"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 Aug 17, 2016; 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.