Individual provider Active NPI

Holleh Daria Husseinzadeh, M.D.

  • Hematology & Oncology Physician
  • Philadelphia, PA
National Provider Identifier
1528292711
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD457412 Issued in PA
Practice address
1015 Chestnut St Ste 1321
Philadelphia, PA 19107-4313
Phone
(215) 955-4730
Fax
(215) 503-9188
NPI assigned
May 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X 57.016572 OH
Hematology & Oncology Physician 207RH0003X MD457412 PA Primary

Addresses

Primary practice location

1015 Chestnut St Ste 1321
Philadelphia, PA 19107-4313

Mailing address

1015 Chestnut St Ste 1321
Philadelphia, PA 19107-4313
Phone (215) 955-4730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 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
I20160601001243 PA Practitioner - Hematology/Oncology 3173813235 Reassigns benefits to 1 organization
I20220927002039 DE Practitioner - HematologyPractitioner - Internal Medicine 3173813235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HematologyAlso: Internal Medicine
Education
University of Cincinnati College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

Practice addresses (Care Compare)

4701 Ogletown Stanton Rd
Suite 4200
Newark, DE 19713-2075
Phone (302) 737-7700

501 W 14TH St
Wilmington, DE 19801-1013
Phone (302) 320-4410

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.016572OHMDHematology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Hematology CurrentSince Jul 1, 2016 Accepting new patients
Christiana Care Health Services Inc Hematology CurrentSince Sep 15, 2022 Accepting new patients
Christiana Care Health Services Inc CurrentSince Sep 15, 2022 Accepting new patients
Christiana Care Health Services Inc CurrentSince Dec 21, 2022 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2016 Accepting new patients

Locations

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

4701 Ogletown Stanton Rd
Ste 4200
Newark, DE 19713
Phone (302) 658-7533

4701 Ogletown Stanton Rd
Ste 2100
Newark, DE 19713
Phone (302) 623-4530

4701 Ogletown Stanton Rd
Ste 2200
Newark, DE 19713
Phone (302) 366-1200

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

3400 Civic Center Blvd
#2
Philadelphia, PA 19104
Phone (215) 615-0063

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

Interoperability endpoints

  • Direct secure messaging: holleh.husseinzadeh@dclp.ikm.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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509062400000",
    "number": "1528292711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 CHESTNUT ST STE 1321",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074313",
            "telephone_number": "215-955-4730",
            "fax_number": "215-503-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 CHESTNUT ST STE 1321",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074313",
            "telephone_number": "215-955-4730",
            "fax_number": "215-503-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEINZADEH",
        "first_name": "HOLLEH",
        "middle_name": "DARIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-04",
        "last_updated": "2017-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "OH",
            "license": "57.016572",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD457412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.