Active NPI
Susan Fellheimer, MD
- Pediatrics Physician
- Fort Washington, PA
National Provider Identifier
1508830365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD024450E
- Practice address
- 260 New York Drive
Fort Washington, PA 19034 - Phone
- (215) 643-7331
- Fax
- (215) 654-0741
- NPI assigned
- Feb 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD024450E | PA | Primary |
Addresses
Primary practice location
260 New York Drive
Fort Washington, PA 19034
Mailing address
101 East Olney Ve
Suite 505
Phila, PA 19120
Phone (215) 254-2630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016188800009 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD024450E | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1508830365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 EAST OLNEY VE",
"address_2": "SUITE 505",
"city": "PHILA",
"state": "PA",
"postal_code": "19120",
"telephone_number": "215-254-2630",
"fax_number": "215-254-2599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 NEW YORK DRIVE",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "19034",
"telephone_number": "215-643-7331",
"fax_number": "215-654-0741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELLHEIMER",
"first_name": "SUSAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD024450E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016188800009",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.