NPIMap

Individual provider Active NPI

Maria Vasiliadis, DO

  • Geriatric Medicine (Internal Medicine) Physician
  • West Chester, PA
National Provider Identifier
1417904897
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
OS0089981 Issued in PA
Practice address
701 E Marshall St
West Chester, PA 19380-4412
Phone
(610) 431-5000
NPI assigned
May 30, 2006
Last updated
Nov 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X OS0089981 PA Primary

Addresses

Primary practice location

701 E Marshall St
West Chester, PA 19380-4412

Mailing address

701 E Marshall St
West Chester, PA 19380-4412
Phone (610) 431-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060823000350 PA Practitioner - Geriatric MedicinePractitioner - Family Practice 6002819588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General HospitalGroup PAC ID 1254240039, 520 clinicians

Practice addresses (Care Compare)

2100 Harrisburg Pike
Lancaster, PA 17601-2644
Phone (717) 544-3113

2102 Harrisburg Pike
Lancaster, PA 17601-2644
Phone (717) 544-3113

2108 Harrisburg Pike
Suite 315
Lancaster, PA 17601-2644
Phone (717) 544-3555

2112 Harrisburg Pike
Lancaster, PA 17601-2644

317 Chestnut St
Quarryville, PA 17566-1184
Phone (717) 544-3555

554 N Duke St FL
3 Penn Med Lanc Gen Health Phys Comprehensi
Lancaster, PA 17602-2250
Phone (717) 554-4943

555 N Duke St
Lancaster, PA 17602-2250

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS0089981PAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital CurrentSince Aug 6, 2012 Accepting new patients
Lancaster General Hospital CurrentSince Aug 6, 2012 Accepting new patients
Lancaster General Hospital Current Accepting new patients
Lancaster General Medical Group Past Accepting new patients
Upper Merion Family Practice Past Accepting new patients

Locations

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

212 Willow Valley Lakes Dr
Willow Street, PA 17584
Phone (717) 464-9173

Interoperability endpoints

  • Direct secure messaging: mvasiliadis81364@direct-lghealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1417904897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E MARSHALL ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804412",
            "telephone_number": "610-431-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E MARSHALL ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804412",
            "telephone_number": "610-431-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASILIADIS",
        "first_name": "MARIA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "OS0089981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.