Individual provider Active NPI

Haytham Albizem, MD

  • Cardiovascular Disease Physician
  • Philadelphia, PA
National Provider Identifier
1467442285
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD046344 Issued in PA
Practice address
5600 Chestnut St
Philadelphia, PA 19139-3232
Phone
(215) 747-4511
Fax
(215) 476-2180
NPI assigned
Oct 24, 2005
Last updated
Aug 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD046344 PA Primary

Addresses

Primary practice location

5600 Chestnut St
Philadelphia, PA 19139-3232

Mailing address

2020 Trowbridge Dr
Newtown, PA 18940-9437
Phone (215) 747-4511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050912000431 NJ Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 1658304696 Reassigns benefits to 2 organizations
I20080804000127 PA Practitioner - General PracticePractitioner - Internal MedicinePractitioner - Interventional CardiologyPractitioner - Vascular SurgeryPractitioner - Peripheral Vascular DiseasePractitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 1658304696 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Peripheral Vascular Disease, Vascular Surgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health, LLCGroup PAC ID 7911338231, 2 clinicians

Practice addresses (Care Compare)

333 E City Ave
Suite Il50
Bala Cynwyd, PA 19004-1511
Phone (215) 709-3800

3379 Quakerbridge Rd
Suite 200
Hamilton, NJ 08619-1269
Phone (609) 360-0145

5600 Chestnut St
Philadelphia, PA 19139-3232
Phone (215) 747-4511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19602ALMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
MD046344PAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penn Heart and Vascular Center Cardiovascular Disease CurrentSince Jul 1, 2024 Accepting new patients
Afterours NJ PA CurrentSince Nov 26, 2018 Accepting new patients
Hamilton Heart & Vascular Care LLC CurrentSince Dec 1, 2018 Accepting new patients
Wissinoming Medical Associates PC CurrentSince Jan 28, 2020 Accepting new patients
Pennmed Care PA PC Cardiovascular Disease CurrentSince Jan 1, 2025 Accepting new patients
Heart & Vascular Care Consultants LLC Cardiovascular Disease CurrentSince Dec 28, 2019 Accepting new patients
New Jersey Preventive Cardiology Cardiovascular Disease Past Accepting new patients
Darby Medical Associates Inc. PastSince Jul 1, 2020 Accepting new patients
Elena Annopolsky M.D.P.C. PastSince Nov 1, 2019 Accepting new patients
Gurpreet Kochar MD PC PastSince Mar 7, 1997 Accepting new patients
Gurpreet Kochar MD-PC Past Accepting new patients
Allegiance Health Group LLC Cardiovascular Disease PastSince Nov 26, 2018 Accepting new patients

Locations

3379 Quakerbridge Rd
Ste 111
Hamilton, NJ 08619
Phone (609) 249-9000

8 Centre Dr
Monroe Twp, NJ 08831
Phone (609) 252-8760

3379 Quakerbridge Rd
Ste 200
Trenton, NJ 08619
Phone (609) 360-0145

3379 Quakerbridge Rd
Ste 201
Trenton, NJ 08619
Phone (609) 695-4422

40 Fuld St
Ste 300
Trenton, NJ 08638
Phone (609) 394-9040

869 Main St
Darby, PA 19023
Phone (610) 461-2440

5600 Chestnut St
Philadelphia, PA 19139
Phone (215) 836-1508

6122 Torresdale Ave
Philadelphia, PA 19135
Phone (215) 338-6677

841 E Hunting Park Ave
Ste 110
Philadelphia, PA 19124
Phone (215) 535-4494

668 Stony Hill Rd
Ste 123
Yardley, PA 19067

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1467442285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 TROWBRIDGE DR",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189409437",
            "telephone_number": "215-747-4511",
            "fax_number": "215-476-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 CHESTNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393232",
            "telephone_number": "215-747-4511",
            "fax_number": "215-476-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBIZEM",
        "first_name": "HAYTHAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD046344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.