Individual provider Active NPI

Anthony Fabiano, MD

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1487283057
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD483232 Issued in PA
Practice address
2451 Grant Ave
Philadelphia, PA 19114-1031
Phone
(215) 439-7153
NPI assigned
Apr 6, 2020
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 35.147054 OH
Emergency Medicine Physician 207P00000X MD483232 PA Primary

Addresses

Primary practice location

2451 Grant Ave
Philadelphia, PA 19114-1031

Mailing address

1300 Faimount Ave
Apartment 940
Philadelphia, OH 19123
Phone (480) 272-3377

Other names 1

  • Dr. Tony Fabiano Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, 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
I20230613003378 OH Practitioner - Emergency Medicine 5991124513 Reassigns benefits to 5 organizations
I20240820004476 PA Practitioner - Emergency Medicine 5991124513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holzer Clinic LLCGroup PAC ID 5890606008, 266 clinicians
Ohio Valley Physicians IncGroup PAC ID 8729032966, 130 clinicians

Practice addresses (Care Compare)

100 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 446-5050

55 Hospital Dr
Athens, OH 45701-2302
Phone (740) 592-9349

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Health Physician Services CurrentSince Oct 1, 2024 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Feb 2, 2026 Accepting new patients
Emergency Medicine Physicians of Lake County LTD Emergency Medicine CurrentSince Jun 9, 2025 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Jul 1, 2025 Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince Jul 1, 2024 Accepting new patients
Jefferson University Physicians Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Holzer Clinic, LLC CurrentSince Jul 15, 2025 Accepting new patients
Aria Health Physician Services - Trauma CurrentSince Oct 1, 2024 Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince Jul 1, 2024 Accepting new patients
Jefferson Acute Care Physicians, PC Current Accepting new patients
Aria Health Physician Services Current Accepting new patients
Emergency Medicine Physicians of Lancaster, LTD. Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Ohio Valley Physicians Inc Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients

Locations

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900

100 Jackson Pike
Gallipolis, OH 45631
Phone (740) 446-5050

936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600

500 Burlington Rd
Jackson, OH 45640
Phone (740) 288-4625

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

1020 Sansom St
Ste 239
Philadelphia, PA 19107
Phone (215) 955-6844

10800 Knights Rd
Philadelphia, PA 19114
Phone (215) 612-2610

1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836

2451 Grant Ave
Philadelphia, PA 19114
Phone (215) 464-8050

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

700 Walnut St
Philadelphia, PA 19106
Phone (215) 503-7300

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Organizations & group practices 13

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 13

Hospital & facility affiliations 4

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1487283057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 FAIMOUNT AVE",
            "address_2": "APARTMENT 940",
            "city": "PHILADELPHIA",
            "state": "OH",
            "postal_code": "19123",
            "telephone_number": "480-272-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 GRANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141031",
            "telephone_number": "215-439-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIANO",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2024-07-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.147054",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD483232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "FABIANO",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.