Individual provider Active NPI

Noble Sidney Jones, MD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1447274584
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD020624E Issued in PA
Practice address
1408 S Broad St
2ND Floor
Philadelphia, PA 19146-4808
Phone
(215) 755-6462
Fax
(215) 755-6487
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD020624E PA Primary

Addresses

Primary practice location

1408 S Broad St
2ND Floor
Philadelphia, PA 19146-4808

Mailing address

1408 S Broad St
FL 1
Philadelphia, PA 19146-4808
Phone (215) 755-6462

Other identifiers 2

IdentifierTypeStateIssuer
MD020624EOtherPAMEDICAL LICENSE NUMBER
0054153000OtherPAKEYSTONE HEALTH PLAN EAST

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110404000715 PA Practitioner - Internal Medicine 8224212915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
George Washington University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1408 S Broad St
Philadelphia, PA 19146-4808
Phone 2157556462139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD020624EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Solutions CurrentSince Dec 9, 2016 Accepting new patients

Locations

1408 S Broad St
Fl 1
Philadelphia, PA 19146
Phone (215) 755-0700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16512/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1447274584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 S BROAD ST",
            "address_2": "FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191464808",
            "telephone_number": "215-755-6462",
            "fax_number": "215-755-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 S BROAD ST",
            "address_2": "2ND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191464808",
            "telephone_number": "215-755-6462",
            "fax_number": "215-755-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "NOBLE",
        "middle_name": "SIDNEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD020624E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "MD020624E",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0054153000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.