Individual provider Active NPI

Polina Gelfer, M.D.

  • Pediatrics Physician
  • Harrisburg, PA
National Provider Identifier
1508808718
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD479618 Issued in PA
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

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7420228OtherNYAETNA
8W7641OtherTXBCBS
02089554MedicaidNY
184726102OtherTXCSHCN
0B4462OtherNYEMPIRE BC.BS
184726101MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pgelfer241074@phsdirect.pinnaclehealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, 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
I20070423000420 TX Practitioner - Pediatric Medicine 6002895638 Reassigns benefits to 1 organization
I20230208003394 PA Practitioner - Pediatric Medicine 6002895638 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD479618PAMDPediatrics Physician
M5183TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Pediatrics Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Mar 1, 2023 Accepting new patients
Ut Physicians Pediatrics CurrentSince Nov 1, 2006 Accepting new patients
Pinnacle Health Medical Services CurrentSince Mar 1, 2023 Accepting new patients
Ut Physicians CurrentSince Nov 1, 2006 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.