Active NPI
Sallyanna Bazelais, DO
- Family Medicine Physician
- Philadelphia, PA
National Provider Identifier
1346980240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS025464
- Practice address
- 7131 Frankford Ave # 39
Philadelphia, PA 19135-1008 - Phone
- (215) 332-4164
- Fax
- (215) 332-9638
- NPI assigned
- Mar 30, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Family Medicine Physician | 207Q00000X | OS025464 | PA | Primary |
Addresses
Primary practice location
7131 Frankford Ave # 39
Philadelphia, PA 19135-1008
Mailing address
PO Box 788735
Philadelphia, PA 19178-8735
Phone (215) 456-7000
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
- Family Practice
- Education
- Touro Un Col of Osteopathic Medicine, New York, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7131 -39 Frankford Ave
Philadelphia, PA 19135-1008
Phone (215) 332-4164
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS025464 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einstein Community Health Associates, Inc | Family Medicine | Current | Accepting new patients |
| Einstein Community Health Associates, Inc | Past | Accepting new patients |
Locations
7131 Frankford Ave
Philadelphia, PA 19135
Phone (215) 332-4164
7131 Frankford Ave
#39
Philadelphia, PA 19135
Phone (215) 332-4164
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Phila, PA
- NPI 1558316109
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1427662931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1346980240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 788735",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191788735",
"telephone_number": "215-456-7000",
"fax_number": "215-254-3289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7131 FRANKFORD AVE # 39",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191351008",
"telephone_number": "215-332-4164",
"fax_number": "215-332-9638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAZELAIS",
"first_name": "SALLYANNA",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-30",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS025464",
"primary": true
}
],
"identifiers": [],
"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 Jan 26, 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.