Individual provider Active NPI

Seth Eliot Vatsky, DO

  • Vascular & Interventional Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1386820587
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
OS017617 Issued in PA
Practice address
3401 Civic Center Blvd
Dept. of Radiology
Philadelphia, PA 19104-4319
Phone
(267) 425-7129
Fax
(267) 425-9625
NPI assigned
Jan 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X 275165 NY
Diagnostic Radiology Physician 2085R0202X OS017617 PA
Diagnostic Radiology Physician 2085R0202X 275165 NY
Vascular & Interventional Radiology Physician 2085R0204X OS017617 PA Primary

Addresses

Primary practice location

3401 Civic Center Blvd
Dept. of Radiology
Philadelphia, PA 19104-4319

Mailing address

100 E Penn SQ
Radiology Associates of Chop
Philadelphia, PA 19107-3323
Phone (267) 425-9200

Other identifiers 1

IdentifierTypeStateIssuer
03873205MedicaidNY

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
I20151001000992 PA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1254557010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rowan University School of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Children'S Hospital, IncGroup PAC ID 0345154399, 40 clinicians

Practice addresses (Care Compare)

3401 Civic Ctr Blvd
Philadelphia, PA 19104-4319
Phone (267) 425-9505

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
275165NYMDPediatric Radiology Physician
OS017617PAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Diagnostic Radiology CurrentSince Aug 1, 2018 Accepting new patients
University of Penn-Medical Group Pediatric Radiology CurrentSince Aug 17, 2015 Accepting new patients
University of Penn-Medical Group CurrentSince Aug 17, 2015 Accepting new patients
Geisinger Clinic Current Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Aug 1, 2018 Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

402 McFarlan Rd
Ste 201
Kennett Square, PA 19348
Phone (610) 444-2665

1840 South St
Ste 3
Philadelphia, PA 19146
Phone (215) 546-1893

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

420 W Linfield Trappe Rd
Bldg A
Royersford, PA 19468

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

915 Old Fern Hill Rd
Ste D400
West Chester, PA 19380

455 Woodview Rd
West Grove, PA 19390
Phone (610) 345-1960

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1386820587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E PENN SQ",
            "address_2": "RADIOLOGY ASSOCIATES OF CHOP",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191073323",
            "telephone_number": "267-425-9200",
            "fax_number": "267-425-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 CIVIC CENTER BLVD",
            "address_2": "DEPT. OF RADIOLOGY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044319",
            "telephone_number": "267-425-7129",
            "fax_number": "267-425-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATSKY",
        "first_name": "SETH",
        "middle_name": "ELIOT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-17",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NY",
            "license": "275165",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "OS017617",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "275165",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "OS017617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03873205",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.