Blessy Methikalam, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD421801 Issued in PA

Practice address

131 E Chelten Ave
Philadelphia, PA 19144-2153

Phone

(215) 685-5723

Fax

(215) 685-5791

NPI assigned

Apr 12, 2006

Last updated

Jun 6, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: blessy.methikalam@pdphahs.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• City of Philadelphia

  dba Health Care Center 2

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1942317094
  Medicare reassignment NPD
• City of Philadelphia

  dba Phila Health Dept Laboratory

  • Clinical Medical Laboratory
  • Phila, PA
  • NPI 1689688798
  NPD
• City of Philadelphia

  dba Health Care Center 9

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1427165307
  NPD (past)
• Margiotti & Kroll Pediatrics, P.C.

  • Pediatrics Physician
  • Trevose, PA
  • NPI 1306800909
  NPD (past)
• Temple University of the Commonwealth System of Higher Education

  dba Temple University Kornberg School of Dentistry OS

  • Oral and Maxillofacial Surgery (Dentist)
  • Philadelphia, PA
  • NPI 1912687187
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1396709952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CHAPEL HILL RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190067913",
            "telephone_number": "215-938-0257",
            "fax_number": "215-938-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E CHELTEN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442153",
            "telephone_number": "215-685-5723",
            "fax_number": "215-685-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METHIKALAM",
        "first_name": "BLESSY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD421801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evdokia S Metaxas, PHARMD
• Gracie Metcalf
• Meghan Kiley Metcalf, M.D.
• Ian Elliot Metcalfe, PT, DPT
• Linda Leigh Metheny, DNP, CRNA
• Methodist Associates Healthcare, Inc. (Jefferson Community Physicians -Podiatry)
• Methodist Associates in Health Care, Inc (Jefferson Community Physicians - Urology)
• Methodist Associates in Health Care, Inc (Jefferson Medical Group - Concierge Medicine)
• Methodist Associates in Health Care, Inc
• Methodist Associates in Health Care, Inc (Jefferson Community Physicians)

• Pediatrics Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.