Individual provider Active NPI

Edward J Filippone, MD

  • Nephrology Physician
  • Phila, PA
National Provider Identifier
1649211129
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MDO23629E Issued in PA
Practice address
2228 S Broad St
Phila, PA 19145-3923
Phone
(215) 467-8955
Fax
(215) 467-8956
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MDO23629E PA Primary

Addresses

Primary practice location

2228 S Broad St
Phila, PA 19145-3923

Mailing address

2228 S Broad St
Phila, PA 19145-3923
Phone (215) 467-8955

Other identifiers 1

IdentifierTypeStateIssuer
0009005470001MedicaidPA

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
I20111207000150 PA Practitioner - NephrologyPractitioner - Internal Medicine 7517959729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Icahn School of Medicine at Mount Sinai, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward J Filippone MD PCGroup PAC ID 3274525480, 3 clinicians

Practice addresses (Care Compare)

2228 S Broad St
Philadelphia, PA 19145-3923
Phone (215) 467-8955

Hospital & facility affiliations

  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174

Merit-based Incentive Payment System (MIPS)

Final score
66.08 of 100Reported as individual
Quality
90
Improvement activities
0
Cost
66.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDO23629EPAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward J Filippone MD PC Nephrology CurrentSince May 18, 1983 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: edwardjfilipponemdpc@144474.advancedmd-direct.com

Organizations & group practices 1

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1649211129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 S BROAD ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191453923",
            "telephone_number": "215-467-8955",
            "fax_number": "215-467-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 S BROAD ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191453923",
            "telephone_number": "215-467-8955",
            "fax_number": "215-467-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILIPPONE",
        "first_name": "EDWARD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MDO23629E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009005470001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.