Active NPI
Monica Mallory-Whitmore, MD
- Family Medicine Physician
- Phila, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS013073
- Practice address
- 1401 S 31St St
Phila, PA 19146-3506 - Phone
- (215) 755-7700
- Fax
- (215) 755-3177
- NPI assigned
- Aug 3, 2006
- Last updated
- Apr 6, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS013073 | PA | Primary |
Addresses
Primary practice location
1401 S 31St St
Phila, PA 19146-3506
Mailing address
1401 S 31St St
2ND Floor
Phila, PA 19146-3506
Phone (215) 925-2400
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 Compare- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1999 W Hunting Park Ave
Philadelphia, PA 19140-2828
Phone (215) 228-9300
4510 Frankford Ave
Philadelphia, PA 19124-3602
Phone (215) 744-1302
5000 Woodland Ave
Philadelphia, PA 19143-5137
Phone (215) 726-9807
800 Washington Ave
Philadelphia, PA 19147-4717
Phone (215) 339-5100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Philadelphia Health Action Inc. | Current | Accepting new patients | |
| Greater Philadelphia Health Action, Inc. | Current | Accepting new patients | |
| Greater Philadelphia Health Action Inc. | Family Medicine | Past | Accepting new patients |
Locations
1401 S 31st St
Philadelphia, PA 19146
Phone (215) 755-7700
1401 S 31st St
#2
Philadelphia, PA 19146
432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000
5000 Woodland Ave
Philadelphia, PA 19143
Phone (215) 726-9807
5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700
Interoperability endpoints
- drmonica.mallorywhitmore.p1@direct.gpha.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba GPHA Woodland Ave. Behavioral Healthcare
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1205140902
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1275151607
-
dba GPHA Southeast Health Center
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1417902362
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1447267042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 S 31ST ST",
"address_2": "2ND FLOOR",
"city": "PHILA",
"state": "PA",
"postal_code": "191463506",
"telephone_number": "215-925-2400",
"fax_number": "215-925-9162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S 31ST ST",
"city": "PHILA",
"state": "PA",
"postal_code": "191463506",
"telephone_number": "215-755-7700",
"fax_number": "215-755-3177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLORY-WHITMORE",
"first_name": "MONICA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS013073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phila, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.