Individual provider Active NPI

Thair M Abed, MD

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1497743587
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD062323L Issued in PA
Practice address
3509 N Broad St
Philadelphia, PA 19140-4105
Phone
(215) 707-5437
Fax
(215) 707-5180
NPI assigned
Oct 12, 2005
Last updated
Feb 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD062323L PA Primary

Addresses

Primary practice location

3509 N Broad St
Philadelphia, PA 19140-4105

Mailing address

2450 W. Hunting Park Ave
Tasb 3Rd Floor
Philadelphia, PA 19129-1302
Phone (215) 707-5437

Other identifiers 1

IdentifierTypeStateIssuer
0017928650001MedicaidPA

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
I20040507000402 PA Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 5799774568 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan Inc CurrentSince Feb 1, 2019 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Feb 1, 2019 Accepting new patients
STC Pediatrics LLC Pediatrics CurrentSince Mar 1, 2026 Accepting new patients
STC Pediatrics LLC Pediatrics CurrentSince Mar 1, 2026 Accepting new patients
Childrens Health Care Associates, Inc Pediatrics Current Accepting new patients
Childrens Health Care Associates, Inc CurrentSince Oct 4, 2011 Accepting new patients
Childen's Health Care Associates Inc. CurrentSince Oct 4, 2011 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
STC Pediatrics LLC Pediatrics Past Accepting new patients
STC Opco LLC Past Accepting new patients
Virtua - West Jersey Health System, Inc. Past Accepting new patients
Temple Faculty Practice Plan, Inc Past Accepting new patients

Locations

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-5202

2450 W Hunting Park Ave
Fl 3
Philadelphia, PA 19129
Phone (215) 707-3633

3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433

3601 A St
Philadelphia, PA 19134
Phone (215) 427-5202

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

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1497743587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W. HUNTING PARK AVE",
            "address_2": "TASB 3RD FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291302",
            "telephone_number": "215-707-5437",
            "fax_number": "215-707-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404105",
            "telephone_number": "215-707-5437",
            "fax_number": "215-707-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABED",
        "first_name": "THAIR",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD062323L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017928650001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.