Amir Siadatan, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

MD422858 Issued in PA

Practice address

130 S Bryn Mawr Ave
Suite H321
Bryn Mawr, PA 19010-3121

Phone

(484) 337-4097

Fax

(484) 337-4082

NPI assigned

Mar 22, 2006

Sex

Male

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, NY2 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

HospitalistAlso: Internal Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Abington Memorial HospitalGroup PAC ID 3274437736, 442 clinicians

Cogent Medical Care PCGroup PAC ID 7315836780, 152 clinicians

Phoenixville Clinic Company LLCGroup PAC ID 5799796850, 135 clinicians

Hospitalist Medicine Physicians of Pennsylvania PCGroup PAC ID 9234309840, 94 clinicians

Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tower Health at Home - Berks Hospice, Reading, PA, CCN 391536
• Phoenixville Hospital Hospital, Phoenixville, PA, CCN 390127
• Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142
• Jefferson Einstein Montgomery Hospital Hospital, East Norriton, PA, CCN 390329
• Montefiore Mount Vernon Hospital Hospital, Mount Vernon, NY, CCN 330086
• Jefferson Lansdale Hospital Hospital, Lansdale, PA, CCN 390012

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amir.siadatan@direct.einstein.edu
• FHIR API: https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4

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.

• Abington Memorial Hospital

  dba Department of Medicine Hospitalists

  • Hospitalist Physician
  • Abington, PA
  • NPI 1770508319

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Einstein Practice Plan Inc

  dba Einstein Psychiatry Assoc

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1760434468
  Medicare reassignment Care Compare group NPD
• Cogent Medical Care PC

  • Internal Medicine Physician
  • East Patchogue, NY
  • NPI 1912941238
  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Pennsylvania, P.C.

  • Internal Medicine Physician
  • Somerset, PA
  • NPI 1639464308
  Medicare reassignment Care Compare group
• Phoenixville Clinic Company LLC

  dba Cardiology Limerick Tower Health Medical Group

  • Family Medicine Physician
  • Phoenixville, PA
  • NPI 1891866182
  Medicare reassignment Care Compare group
• Fayette Physician Network Inc

  • Surgery Physician
  • Uniontown, PA
  • NPI 1992107817

  Internal Medicine

  Medicare reassignment NPD
• Fornance Physician Services, Inc

  dba Family OB/GYN Center

  • Obstetrics & Gynecology Physician
  • Norristown, PA
  • NPI 1053363523
  Medicare reassignment NPD
• HR Physician Services

  dba HR Multispecialty Services

  • Obstetrics & Gynecology Physician
  • Meadowbrook, PA
  • NPI 1881696698

  Internal Medicine

  Medicare reassignment NPD
• Main Line Healthcare

  • Family Medicine Physician
  • Newtown Square, PA
  • NPI 1922077643

  Internal Medicine

  Medicare reassignment NPD
• Pottstown Clinic Company LLC

  dba Emergency Medicine Pottstown Tower Health Medical Group

  • Family Medicine Physician
  • Pottstown, PA
  • NPI 1649341934

  Internal Medicine

  Medicare reassignment NPD
• University of Penn-Medical Group

  • Gynecologic Oncology Physician
  • Philadelphia, PA
  • NPI 1235527342
  Medicare reassignment NPD
• Clinical Specialty Associates

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Bala Cynwyd, PA
  • NPI 1184431900
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Einstein Hospital

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1366653818
  Care Compare affiliation Name & address match
• Einstein Medical Center Montgomery

  • General Acute Care Hospital
  • East Norriton, PA
  • NPI 1104192590
  Care Compare affiliation
• Lansdale Hospital Corporation

  dba Lansdale Hospital

  • General Acute Care Hospital
  • Lansdale, PA
  • NPI 1386896306
  Care Compare affiliation
• Phoenixville Hospital, LLC

  dba Phoenixville Hospital

  • General Acute Care Hospital
  • Phoenixville, PA
  • NPI 1750805552
  Care Compare affiliation
• Tower Health at Home

  • Home Health Agency
  • West Reading, PA
  • NPI 1619953775

  Hospice

  Care Compare affiliation
• Tower Health at Home

  • Community Based Hospice Care Agency
  • West Reading, PA
  • NPI 1760468532
  Care Compare affiliation
• Montefiore Mount Vernon Hospital

  • General Acute Care Hospital
  • Mount Vernon, NY
  • NPI 1992131320
  Care Compare affiliation

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497225600000",
    "number": "1396704839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S BRYN MAWR AVE",
            "address_2": "SUITE H321",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103121",
            "telephone_number": "484-337-4097",
            "fax_number": "484-337-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S BRYN MAWR AVE",
            "address_2": "SUITE H321",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103121",
            "telephone_number": "484-337-4097",
            "fax_number": "484-337-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIADATAN",
        "first_name": "AMIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2017-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD422858",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD422858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neal Adam Shore, MD
• Amy Elizabeth Shoumer, DMD
• Fiona Siobhan Shovlin, RN
• Abigail Joy Shreero
• Pragati Shukla, M.D.
• Anum Khan Siddiqui, D.O
• Patricia Siegrist, RN
• Kara Siemer, PT, DPT
• Jedidiah Siev, PH.D.
• Deborah Marie Signorino, OD

• Hospitalist Physician in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Hospitalist Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; 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.