Active NPI
David J Sevitski, D.O.
- Family Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS005347L
- Practice address
- 2813 Cottman Avenue
Philadelphia, PA 19149-1421 - Phone
- (215) 332-9666
- Fax
- (215) 332-1436
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS005347L | PA | Primary |
Addresses
Primary practice location
2813 Cottman Avenue
Philadelphia, PA 19149-1421
Mailing address
2813 Cottman Avenue
Philadelphia, PA 19149-1421
Phone (215) 332-9666
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0058527000 | Other | PA | KEYSTONE PROVIDER NUMBER |
| 4076253 | Other | PA | AETNA PROVIDER NUMBER |
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
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2813 Cottman Ave
Philadelphia, PA 19149-1421
Phone (215) 335-6165
Hospital & facility affiliations
- Mercy Home Health
- Nazareth Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS005347L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Past | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Family Medicine | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100
2813 Cottman Ave
Philadelphia, PA 19149
Phone (215) 332-9666
Interoperability endpoints
- dsevitski2943538@direct.trinity-health.org
Organizations & group practices 6
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.
-
- Surgery Physician
- Langhorne, PA
- NPI 1972982361
-
- Surgery Physician
- Langhorne, PA
- NPI 1396286084
-
- Physical Medicine & Rehabilitation Physician
- Philadelphia, PA
- NPI 1639039175
-
- Trauma Surgery Physician
- Langhorne, PA
- NPI 1093771271
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1336926963
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newtown, PA
- NPI 1467412296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395273600000",
"number": "1386688935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2813 COTTMAN AVENUE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191491421",
"telephone_number": "215-332-9666",
"fax_number": "215-332-1436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2813 COTTMAN AVENUE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191491421",
"telephone_number": "215-332-9666",
"fax_number": "215-332-1436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVITSKI",
"first_name": "DAVID",
"middle_name": "J",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2014-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS005347L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE PROVIDER NUMBER",
"identifier": "0058527000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "4076253",
"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 Mar 20, 2014; 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.