Active NPI
Thair M Abed, MD
- Pediatrics Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD062323L
- Practice address
- 3509 N Broad St
Philadelphia, PA 19140-4105 - Phone
- (215) 707-5437
- Fax
- (215) 707-5180
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1598869059
PA, Pediatrics
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- Philadelphia, PA
- NPI 1144864547
PA
-
- Pediatric Registered Nurse
- Philadelphia, PA
- NPI 1699860643
-
- Pediatric Adolescent Medicine Physician
- Philadelphia, PA
- NPI 1689769705
-
- Pediatric Allergy/Immunology Physician
- Philadelphia, PA
- NPI 1548804966
Pediatrics
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1073095915
-
- Urology Physician
- Voorhees, NJ
- NPI 1407638794
-
- Children's Hospital
- Philadelphia, PA
- NPI 1194368167
-
- Pediatric Allergy/Immunology Physician
- Philadelphia, PA
- NPI 1003450420
Pediatrics
-
- Dermatology Physician
- Philadelphia, PA
- NPI 1285116228
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040507000402 | PA | Practitioner - Pediatric Medicine | 5799774568 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD062323L | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Childrens Health Care Associates, Inc | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| STC Pediatrics LLC | Pediatrics | Current | Accepting new patients |
| STC Pediatrics LLC | Pediatrics | Current | Accepting new patients |
| Childrens Health Care Associates, Inc | Pediatrics | Current | Accepting new patients |
| Childen'S Health Care Associates Inc. | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| STC Opco LLC | Past | Accepting new patients | |
| Virtua - West Jersey Health System, Inc. | Past | Accepting new patients | |
| STC Pediatrics LLC | Pediatrics | Past | Accepting new patients |
| Temple Faculty Practice Plan Inc | Past | Accepting new patients |
Locations
1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
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
3601 A St
Philadelphia, PA 19134
Phone (215) 399-1773
160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067
3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD062323L | PA | Primary |
Addresses
NPPES NPI RegistryPrimary 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
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017928650001 | Medicaid | PA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 8, 2011.
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.