Active NPI
Cyriac Thomas Thachet, MD
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1578547709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD045339L
- Practice address
- 1741 Frankford Ave
Suite 100a
Philadelphia, PA 19125-2445 - Phone
- (215) 425-2424
- Fax
- (215) 425-0342
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD045339L | PA | Primary |
Addresses
Primary practice location
1741 Frankford Ave
Suite 100a
Philadelphia, PA 19125-2445
Mailing address
PO Box 820933
Philadelphia, PA 19182-0933
Phone (215) 425-2424
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4622304 | Other | PA | AETNA PPO |
| 538882 | Other | PA | COVENTRY HEALTH AMERICA |
| 001273951 | Medicaid | PA | |
| 110244602 | Other | PA | RAILROAD MEDICARE |
| 2776575 | Other | PA | AETNA HMO |
| 473238 | Other | PA | AETNA HMO |
| 1026843 | Other | PA | KEYSTONE MERCY HEALTH |
| 3Y3535 | Other | PA | HEALTH NET |
| 0546984000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 1461 | Other | PA | BRAVO HEALTH |
| 710859 | Other | PA | HIGHMARK BLUE SHIELD |
| 1100949 | Other | PA | KEYSTONE MERCY HEALTH |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Physicians Inc | Internal Medicine | Current | Accepting new patients |
| Temple Physician Inc. | Internal Medicine | Current | Accepting new patients |
| Temple Physicians Inc | Past | Accepting new patients |
Locations
515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120
1364 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 289-3390
Organizations & group practices 3
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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- Internal Medicine Physician
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- NPI 1174497366
-
- Family Medicine Physician
- Flourtown, PA
- NPI 1952642936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386806400000",
"number": "1578547709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 820933",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191820933",
"telephone_number": "215-425-2424",
"fax_number": "215-425-0342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1741 FRANKFORD AVE",
"address_2": "SUITE 100A",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191252445",
"telephone_number": "215-425-2424",
"fax_number": "215-425-0342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THACHET",
"first_name": "CYRIAC",
"middle_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2013-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD045339L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4622304",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTH AMERICA",
"identifier": "538882",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001273951",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110244602",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2776575",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "473238",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY HEALTH",
"identifier": "1026843",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "3Y3535",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0546984000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRAVO HEALTH",
"identifier": "1461",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "710859",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY HEALTH",
"identifier": "1100949",
"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 Dec 12, 2013; 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.