NPIMap

Individual provider Active NPI

Jeffrey Dunbar, MD

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1659344695
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD420835 Issued in PA
Practice address
5000 Woodland Ave
Philadelphia, PA 19143-5137
Phone
(215) 726-9807
Fax
(215) 726-0424
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD420835 PA Primary

Addresses

Primary practice location

5000 Woodland Ave
Philadelphia, PA 19143-5137

Mailing address

432 N 6TH St
Philadelphia, PA 19123-4004
Phone (215) 925-2400

Other identifiers 1

IdentifierTypeStateIssuer
0019403220003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050228000689 PA Practitioner - Internal Medicine 1052364213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Pennsylvania, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Health Services IncGroup PAC ID 0840242467, 21 clinicians

Practice addresses (Care Compare)

5201 Haverford Ave
Philadelphia, PA 19139-1401
Phone (267) 275-4095

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Services, Inc. CurrentSince Feb 25, 2019 Accepting new patients
Greater Philadelphia Health Action, Inc. CurrentSince Feb 11, 2013 Accepting new patients
Spectrum Health Services, Inc. Current Accepting new patients
Greater Philadelphia Health Action Inc. Current Accepting new patients
Spectrum Health Services, Inc. CurrentSince Feb 25, 2019 Accepting new patients
Greater Philadelphia Health Action Inc. CurrentSince Feb 11, 2013 Accepting new patients
Spectrum Health Services Inc Past Accepting new patients

Locations

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

1415 N Broad St
Ste 224
Philadelphia, PA 19122
Phone (267) 275-4095

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

5000 Woodland Ave
Philadelphia, PA 19143
Phone (215) 726-9807

4510 Frankford Ave
Philadelphia, PA 19124
Phone (215) 744-1302

1999 W Hunting Park Ave
Philadelphia, PA 19140
Phone (215) 228-9300

5201 Haverford Ave
Philadelphia, PA 19139
Phone (215) 472-6097

Interoperability endpoints

  • Direct secure messaging: jeffrey.dunbar.1@20090.direct.athenahealth.com

Organizations & group practices 7

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 4

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1659344695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 N 6TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191234004",
            "telephone_number": "215-925-2400",
            "fax_number": "215-925-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 WOODLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191435137",
            "telephone_number": "215-726-9807",
            "fax_number": "215-726-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNBAR",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD420835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019403220003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.