Individual provider Active NPI

Jeffrey E Halstead, MD

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1447283296
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD072303L Issued in PA
Practice address
501 S 54TH St
Academic ER SVCS - ER Dept.
Philadelphia, PA 19143-1900
Phone
(215) 748-9435
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD072303L PA Primary

Addresses

Primary practice location

501 S 54TH St
Academic ER SVCS - ER Dept.
Philadelphia, PA 19143-1900

Mailing address

12 Gill St
Ste 3000
Woburn, MA 01801-1728
Phone (781) 937-4522

Other identifiers 6

IdentifierTypeStateIssuer
1156140OtherPAKEYSTONE MERCY
1306140OtherPABS
1306140OtherPAHIGHMARK BS
0018597950004OtherPAPROMISE
0974347000OtherPAKEYSTONE
0018597950MedicaidPA

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
I20111130000637 PA Practitioner - Emergency Medicine 6608040613 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Hahnemann University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenixville Clinic Company LLCGroup PAC ID 5799796850, 135 clinicians
Pottstown Clinic Company LLCGroup PAC ID 6406857184, 112 clinicians
Tower Health Medical GroupGroup PAC ID 7618889213, 578 clinicians

Practice addresses (Care Compare)

140 Nutt Rd
Phoenixville, PA 19460-3906
Phone (610) 983-1000

1600 E High St
Pottstown, PA 19464-5093
Phone (610) 327-7000

420 S 5TH Ave
Emergency Medicine Tower Health Medical Gro
West Reading, PA 19611-2143
Phone (484) 628-3637

Hospital & facility affiliations

  • Pottstown Hospital Hospital, Pottstown, PA, CCN 390123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD072303LPAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group CurrentSince Dec 1, 2023 Accepting new patients
Phoenixville Clinic Company LLC Emergency Medicine Current Accepting new patients
Pottstown Clinic Company LLC Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jan 21, 2024 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Dec 1, 2023 Accepting new patients
Fornance Physician Services, Inc Current Accepting new patients
Fornance Physician Services, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Dec 1, 2023 Accepting new patients
Fornance Physician Services, Inc CurrentSince Oct 1, 2019 Accepting new patients
Main Line Emergency Med Associates LLC Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Tower Health Medical Group CurrentSince Dec 1, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jan 21, 2024 Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients

Locations

56 W Main St
Ste 305
Christiana, DE 19702

1503 Lansdowne Ave
Ste 3003
Darby, PA 19023
Phone (610) 586-4100

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

1503 Lansdowne Ave
Ste 3001
Darby, PA 19023
Phone (610) 586-4100

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1447283296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GILL ST",
            "address_2": "STE 3000",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011728",
            "telephone_number": "781-937-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S 54TH ST",
            "address_2": "ACADEMIC ER SVCS - ER DEPT.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431900",
            "telephone_number": "215-748-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALSTEAD",
        "first_name": "JEFFREY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD072303L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1156140",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "1306140",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "1306140",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROMISE",
            "identifier": "0018597950004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0974347000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018597950",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.