Individual provider Active NPI

Liya Gendler

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1639586803
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OS020626 Issued in PA
Practice address
800 Spruce St
Philadelphia, PA 19107-6130
Phone
(215) 829-3201
Fax
(215) 829-5697
NPI assigned
Jul 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X OS020626 PA Primary

Addresses

Primary practice location

800 Spruce St
Philadelphia, PA 19107-6130

Mailing address

800 Spruce St
Philadelphia, PA 19107-6130
Phone (215) 829-3201

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200824001586 PA Practitioner - Diagnostic Radiology 1850693805 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Imaging of Georgia LLC CurrentSince Aug 3, 2026 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Aug 4, 2026 Accepting new patients
Scltdi JV, LLC CurrentSince Jul 16, 2026 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince May 14, 2026 Accepting new patients
Scltdi JV, LLC CurrentSince Jul 15, 2026 Accepting new patients
Scltdi JV, LLC CurrentSince Jul 15, 2026 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Jun 1, 2026 Accepting new patients
Scltdi JV, LLC CurrentSince Jul 15, 2026 Accepting new patients
Scltdi JV, LLC CurrentSince Jul 15, 2026 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Jul 17, 2026 Accepting new patients
Scltdi JV, LLC CurrentSince Jul 15, 2026 Accepting new patients
Scltdi JV, LLC CurrentSince Jul 15, 2026 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Aug 3, 2026 Accepting new patients
Scltdi JV, LLC CurrentSince Jul 16, 2026 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 7, 2020 Accepting new patients
Scltdi JV, LLC CurrentSince Jul 16, 2026 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Jul 7, 2020 Accepting new patients

Locations

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1639586803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076130",
            "telephone_number": "215-829-3201",
            "fax_number": "215-829-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076130",
            "telephone_number": "215-829-3201",
            "fax_number": "215-829-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENDLER",
        "first_name": "LIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "OS020626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.