Active NPI
Polina Gelfer, M.D.
- Pediatrics Physician
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD479618
- Practice address
- 2645 N 3Rd St FL 2
Harrisburg, PA 17110-2001 - Phone
- (717) 782-6880
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M5183 | TX | |
| Pediatrics Physician | 208000000X | MD479618 | PA | Primary |
Addresses
Primary practice location
2645 N 3Rd St FL 2
Harrisburg, PA 17110-2001
Mailing address
2645 N 3Rd St FL 2
Harrisburg, PA 17110-2001
Phone (717) 782-6880
Other practice location 1
6410 Fannin St
Suite 500
Houston, TX 77030-3000
Phone (832) 325-7111
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7420228 | Other | NY | AETNA |
| 8W7641 | Other | TX | BCBS |
| 02089554 | Medicaid | NY | |
| 184726102 | Other | TX | CSHCN |
| 0B4462 | Other | NY | EMPIRE BC.BS |
| 184726101 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pgelfer241074@phsdirect.pinnaclehealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD479618 | PA | MD | Pediatrics Physician |
| M5183 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Pediatrics | Current | Accepting new patients |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Ut Physicians | Pediatrics | Current | Accepting new patients |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Ut Physicians | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Past | Accepting new patients |
Locations
2645 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-4650
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
1701 Innovation Dr
York, PA 17408
Phone (717) 843-8623
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
Interoperability endpoints
- pgelfer288292@upmc.direct-ci.com
Organizations & group practices 6
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.
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- NPI 1114638228
-
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
- Health Educator
- Houston, TX
- NPI 1316534472
-
- Endocrinology, Diabetes & Metabolism Physician
- Mechanicsburg, PA
- NPI 1518918523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1508808718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 N 3RD ST FL 2",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171102001",
"telephone_number": "717-782-6880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 N 3RD ST FL 2",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171102001",
"telephone_number": "717-782-6880"
}
],
"practiceLocations": [
{
"address_1": "6410 Fannin St",
"address_2": "SUITE 500",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770303000",
"country_code": "US",
"telephone_number": "832-325-7111",
"fax_number": "713-512-2227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GELFER",
"first_name": "POLINA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "M5183",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD479618",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7420228",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8W7641",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02089554",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "184726102",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC.BS",
"identifier": "0B4462",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "184726101",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pgelfer241074@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2645 N 3rd St Fl 2",
"city": "Harrisburg",
"state": "PA",
"country_code": "US",
"postal_code": "171102001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.