Individual provider Active NPI

Ashley M Un, MD

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1366861817
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD458888 Issued in PA
Practice address
800 Spruce St FL 4
Philadelphia, PA 19107-6130
Phone
(215) 829-3474
Fax
(215) 829-5456
NPI assigned
Apr 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD458888 PA Primary

Addresses

Primary practice location

800 Spruce St FL 4
Philadelphia, PA 19107-6130

Mailing address

800 Spruce St FL 4
Philadelphia, PA 19107-6130
Phone (215) 829-3474

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
I20181023000739 PA Practitioner - Psychiatry 9234435447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

800 Spruce St
FL 4
Philadelphia, PA 19107-6130
Phone (215) 829-3474

Hospital & facility affiliations

  • Pennsylvania Hospital Hospital, Philadelphia, PA, CCN 390226

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
73.58
Promoting interoperability
100
Improvement activities
40
Cost
76.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD458888PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon House, Inc. CurrentSince Jul 1, 2018 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Sep 29, 2019 Accepting new patients
University of Penn-Medical Group CurrentSince Sep 29, 2019 Accepting new patients
Horizon House - Delaware Inc Past Accepting new patients

Locations

3275 Stokley St
Philadelphia, PA 19129
Phone (215) 386-3838

120 S 30th St
Philadelphia, PA 19104
Phone (215) 222-2466

3535 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-2816

800 Spruce St
Fl 4
Philadelphia, PA 19107
Phone (215) 829-3474

Organizations & group practices 5

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.

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": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1366861817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SPRUCE ST FL 4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076130",
            "telephone_number": "215-829-3474",
            "fax_number": "215-829-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SPRUCE ST FL 4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076130",
            "telephone_number": "215-829-3474",
            "fax_number": "215-829-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UN",
        "first_name": "ASHLEY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD458888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.