Deborah Niles, MD FAAFP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD070917L Issued in PA

Practice address

1575 N 52ND St Ste S-3
Philadelphia, PA 19131-4736

Phone

(267) 930-4858

Fax

(267) 299-6270

NPI assigned

Jul 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 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 2

Specialty

Family Practice

Education

Drexel University College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harkaway LLCGroup PAC ID 0941542120, 2 clinicians

Restore First Health PennGroup PAC ID 8820435316, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Restore First Health Penn

  • General Practice Physician
  • Plymouth Meeting, PA
  • NPI 1437929304

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Harkaway LLC

  • General Practice Physician
  • Northfield, NJ
  • NPI 1447717962
  Medicare reassignment Care Compare group NPD
• Dedicated Pennsylvania Holding, LLC

  • Specialist
  • Philadelphia, PA
  • NPI 1477053569
  Medicare reassignment NPD
• Restore First Health NJ LLC

  • General Practice Physician
  • East Windsor, NJ
  • NPI 1083327290
  Medicare reassignment NPD
• Dr. Deborah Niles PLLC

  • Family Medicine Physician
  • Plymouth Meeting, PA
  • NPI 1770279390
  NPD Authorized official
• Dedicated Pennsylvania Holding, LLC

  • Specialist
  • Philadelphia, PA
  • NPI 1366950776
  NPD
• Dedicated Pennsylvania Holding, LLC

  • Specialist
  • Philadelphia, PA
  • NPI 1841707965

  Family Medicine

  NPD
• Trustees of the University of Pennsylvania

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1740411651

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1376569715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 N 52ND ST STE S-3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191314736",
            "telephone_number": "267-930-4858",
            "fax_number": "267-299-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 N 52ND ST STE S-3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191314736",
            "telephone_number": "267-930-4858",
            "fax_number": "267-299-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILES",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "MD FAAFP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06826500",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD070917L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilia Nikhinson, MD
• Rachel Miriam Niknam, MD
• Antonina Nikolaidis
• Ivelina Nikolova, DMD
• Patrick Ryan Nilan, PA-C
• Maryam Nilforoshan, M.D.
• Michael Joshua Nilsen, PT, DPT
• Dmitry Niman, MD
• Kwabena Nimarko, PHARMD
• Mark Nimchuk, DPT

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.

Verify at the official NPI Registry.