Active NPI
Dennis Albert Jerdan, M.D.
- Rheumatology Physician
- Willow Grove, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- MD071750-L
- Practice address
- 2360 Maryland Rd
Willow Grove, PA 19090-1709 - Phone
- (215) 657-6776
- Fax
- (267) 913-5961
- NPI assigned
- Oct 6, 2005
- Last updated
- Dec 9, 2020
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | MD071750-L | PA | Primary |
Addresses
Primary practice location
2360 Maryland Rd
Willow Grove, PA 19090-1709
Mailing address
2360 Maryland Rd
Willow Grove, PA 19090-1709
Phone (215) 657-6776
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7041443 | Other | PA | AETNA |
| MD071750-L | Other | PA | STATE LICENSE NUMBER |
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
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Temple University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2360 Maryland Rd
Willow Grove, PA 19090-1709
Phone 2156576776438
Hospital & facility affiliations
- Doylestown Hospital
- St Luke's Hospital - Grand View Campus
- St Mary Medical Center
- Holy Redeemer Hospital and Medical Center
- Hospital of Univ of Pennsylvania
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.46 of 100
- Quality
- 77.73
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 68.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD071750-L | PA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rheumatic Disease Associates,LTD | Rheumatology | Current | Accepting new patients |
| Amh Medical Staff Service Fund | Rheumatology | Current | Accepting new patients |
Locations
1200 York Rd
Abington, PA 19001
Phone (215) 481-2222
599 W State St
Ste 310
Doylestown, PA 18901
Phone (267) 893-6780
1717 Langhorne Newtown Rd
Ste 101
Langhorne, PA 19047
2360 Maryland Rd
Willow Grove, PA 19090
2400 Maryland Rd
Ste 40
Willow Grove, PA 19090
Phone 21565767763753
2510 Maryland Rd
Ste 200
Willow Grove, PA 19090
Interoperability endpoints
- dennis.jerdanmd.p1@direct.arthritispa.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rheumatology Physician
- Willow Grove, PA
- NPI 1235116344
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Doylestown, PA
- NPI 1225091697
-
dba Holy Redeemer Hospital & Medical Center
- General Acute Care Hospital
- Meadowbrook, PA
- NPI 1750371522
-
- General Acute Care Hospital
- Langhorne, PA
- NPI 1780686931
-
- General Acute Care Hospital
- Sellersville, PA
- NPI 1568459287
-
dba Hospital of the University of Pennsylvania
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1588652200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2360 MARYLAND RD",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901709",
"telephone_number": "215-657-6776",
"fax_number": "215-657-2035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 MARYLAND RD",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901709",
"telephone_number": "215-657-6776",
"fax_number": "267-913-5961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERDAN",
"first_name": "DENNIS",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "PA",
"license": "MD071750-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7041443",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "MD071750-L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Willow Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.