Active NPI
Ursula S. Nawab, MD
- Neonatal-Perinatal Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- MD419422
- Practice address
- 3401 Civic Center Blvd
The Children'S Hospital of Phila - Neonatology
Philadelphia, PA 19104-4319 - Phone
- (215) 590-1944
- Fax
- (215) 590-4454
- NPI assigned
- May 24, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 25MA07947600 | NJ | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 42057 | TX | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | N2208 | TX | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | MD419422 | PA | Primary |
Addresses
Primary practice location
3401 Civic Center Blvd
The Children'S Hospital of Phila - Neonatology
Philadelphia, PA 19104-4319
Mailing address
100 E Penn SQ
9TH FL
Philadelphia, PA 19107-3323
Phone (267) 425-9258
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190088801 | Medicaid | TX | |
| 8AL073 | Other | TX | BCBS |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N2208 | TX | MD | Neonatal-Perinatal Medicine Physician |
| 42057 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn-Medical Group | Current | Accepting new patients | |
| Childrens Health Care Associates, Inc | Neonatal-Perinatal Medicine | Current | Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Neonatal-Perinatal Medicine | Current | Accepting new patients |
| Childrens Health Care Associates, Inc | Current | Accepting new patients | |
| Childen'S Health Care Associates Inc. | Current | Accepting new patients | |
| SCHC Pediatric Associates, LLC | Neonatal-Perinatal Medicine | Past | Accepting new patients |
Locations
3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040
100 E Penn Sq
Fl 9
Philadelphia, PA 19107
Phone (267) 425-9232
3400 Spruce St
Fl 8
Philadelphia, PA 19104
Phone (215) 662-2415
Organizations & group practices 7
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.
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Neonatal-Perinatal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430092800000",
"number": "1417168352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E PENN SQ",
"address_2": "9TH FL",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191073323",
"telephone_number": "267-425-9258",
"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": "THE CHILDREN'S HOSPITAL OF PHILA - NEONATOLOGY",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044319",
"telephone_number": "215-590-1944",
"fax_number": "215-590-4454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAWAB",
"first_name": "URSULA",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2015-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NJ",
"license": "25MA07947600",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TX",
"license": "42057",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TX",
"license": "N2208",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "PA",
"license": "MD419422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190088801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8AL073",
"state": "TX"
}
],
"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 27, 2015; 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.