Individual provider Active NPI

Amaris H Allan, MD

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1457670002
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD447774 Issued in PA
Practice address
3156 Kensington Ave Ste 1
Philadelphia, PA 19134-2400
Phone
(215) 831-1100
Fax
(215) 807-8951
NPI assigned
May 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MT196943 PA
Family Medicine Physician 207Q00000X MD447774 PA Primary

Addresses

Primary practice location

3156 Kensington Ave Ste 1
Philadelphia, PA 19134-2400

Mailing address

120 S Tan Aly Ste 1
Fredericksburg, PA 17026-9349
Phone (717) 865-6644

Other practice location 1

120 S Tan Aly Ste 1
Fredericksburg, PA 17026-9349
Phone (717) 865-6644

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aallan176442@phsdirect.pinnaclehealth.org

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
I20130720000104 PA Practitioner - Family Practice 7911148739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

120 S Tan Aly
Suite 1
Fredericksburg, PA 17026-9349
Phone (717) 865-6644

Hospital & facility affiliations

  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • Wellspan Good Samaritan Hospital Hospital, Lebanon, PA, CCN 390066

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD447774PAMDFamily Medicine Physician
MT196943PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Aug 3, 2020 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 3, 2020 Accepting new patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

120 S Tan Aly
Ste 1
Fredericksburg, PA 17026

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

Interoperability endpoints

  • Direct secure messaging: aallan19362@upmc.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 10

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": "1274400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1457670002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S TAN ALY STE 1",
            "city": "FREDERICKSBURG",
            "state": "PA",
            "postal_code": "170269349",
            "telephone_number": "717-865-6644",
            "fax_number": "717-865-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3156 KENSINGTON AVE STE 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191342400",
            "telephone_number": "215-831-1100",
            "fax_number": "215-807-8951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 S Tan Aly Ste 1",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "PA",
            "postal_code": "170269349",
            "country_code": "US",
            "telephone_number": "717-865-6644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLAN",
        "first_name": "AMARIS",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-21",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT196943",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD447774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aallan176442@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "120 S Tan Aly Ste 1",
            "city": "Fredericksburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170269349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.