Active NPI
Patricia A Takach, MD
- Allergy & Immunology Physician
- Philadelphia, PA
National Provider Identifier
1407873441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- MD431875
- Practice address
- 51 N 39TH St
Mutch Building, 5TH Floor
Philadelphia, PA 19104-2640 - Phone
- (215) 662-2775
- Fax
- (215) 615-5055
- NPI assigned
- Jul 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MD431875 | PA | Primary |
| Allergy Physician | 207KA0200X | MD431875 | PA | |
| Internal Medicine Physician | 207R00000X | MD431875 | PA |
Addresses
Primary practice location
51 N 39TH St
Mutch Building, 5TH Floor
Philadelphia, PA 19104-2640
Mailing address
51 N 39TH St
Mutch Building, 5TH Floor
Philadelphia, PA 19104-2640
Phone (215) 662-2775
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.91 of 100
- Quality
- 73.58
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn - Medical Group | Allergy & Immunology | Current | Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients |
Locations
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
Organizations & group practices 3
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.
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Allergy & Immunology Physician
- Philadelphia, PA
- NPI 1659488351
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1407873441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 N 39TH ST",
"address_2": "MUTCH BUILDING, 5TH FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191042640",
"telephone_number": "215-662-2775",
"fax_number": "215-615-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 N 39TH ST",
"address_2": "MUTCH BUILDING, 5TH FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191042640",
"telephone_number": "215-662-2775",
"fax_number": "215-615-5055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKACH",
"first_name": "PATRICIA",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-16",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "PA",
"license": "MD431875",
"primary": true
},
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "PA",
"license": "MD431875",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD431875",
"primary": false
}
],
"identifiers": [],
"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 Apr 4, 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.
- 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.