Individual provider Active NPI

Sari Lahham

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1669834669
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD466742 Issued in PA
Practice address
1020 Sansom St Ste 239
Philadelphia, PA 19107-5002
Phone
(215) 955-6844
Fax
(215) 955-2526
NPI assigned
Mar 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD466742 PA Primary

Addresses

Primary practice location

1020 Sansom St Ste 239
Philadelphia, PA 19107-5002

Mailing address

1020 Sansom St Ste 239
Philadelphia, PA 19107-5002
Phone (215) 955-6844

Other practice location 1

2607 Rhawn St
Philadelphia, PA 19152-3038
Phone (215) 333-0304

Other practice location 2

700 Walnut St
Philadelphia, PA 19106-3505
Phone (215) 503-7300

Other practice location 3

2301 S Broad St Fl 1
Philadelphia, PA 19148-3542
Phone (215) 952-9136

Other practice location 4

2021 Chestnut St
Philadelphia, PA 19103-3373
Phone (267) 443-2020

Other practice location 5

2603 Easton Rd
Willow Grove, PA 19090-1009
Phone (267) 537-3300

Other practice location 6

1820 Bethlehem Pike
Flourtown, PA 19031-1504
Phone (215) 836-1354

Other practice location 7

2451 Grant Ave
Philadelphia, PA 19114-1031
Phone (215) 934-3471

Other practice location 8

2966 Street Rd
Bensalem, PA 19020-2604
Phone (215) 638-0666

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190828000163 PA Practitioner - Emergency Medicine 5294080834 Reassigns benefits to 1 organization
I20200923000568 CA Practitioner - Emergency Medicine 5294080834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Irvine, California College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

4647 Zion Ave
San Diego, CA 92120-2507
Phone (619) 528-5000

Hospital & facility affiliations

  • Kaiser Foundation Hospital - San Diego Hospital, San Diego, CA, CCN 050515

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD466742PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group Current Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince Aug 15, 2019 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 27, 2020 Accepting new patients
Jefferson Acute Care Physicians, PC Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 27, 2020 Accepting new patients

Locations

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

2966 Street Rd
Bensalem, PA 19020
Phone (215) 638-0666

1820 Bethlehem Pike
Flourtown, PA 19031
Phone (215) 836-1354

700 Walnut St
Philadelphia, PA 19106
Phone (215) 503-7300

2451 Grant Ave
Philadelphia, PA 19114
Phone (215) 464-8050

2603 Easton Rd
Willow Grove, PA 19090
Phone (215) 481-2173

Organizations & group practices 5

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1669834669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SANSOM ST STE 239",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075002",
            "telephone_number": "215-955-6844",
            "fax_number": "215-955-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SANSOM ST STE 239",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075002",
            "telephone_number": "215-955-6844",
            "fax_number": "215-955-2526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2607 Rhawn St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191523038",
            "country_code": "US",
            "telephone_number": "215-333-0304",
            "fax_number": "215-333-1402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191063505",
            "country_code": "US",
            "telephone_number": "215-503-7300",
            "fax_number": "215-503-5666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 S Broad St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191483542",
            "country_code": "US",
            "telephone_number": "215-952-9136",
            "fax_number": "215-952-9138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2021 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191033373",
            "country_code": "US",
            "telephone_number": "267-443-2020",
            "fax_number": "215-640-8860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2603 Easton Rd",
            "address_purpose": "LOCATION",
            "city": "Willow Grove",
            "state": "PA",
            "postal_code": "190901009",
            "country_code": "US",
            "telephone_number": "267-537-3300",
            "fax_number": "267-537-2939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1820 Bethlehem Pike",
            "address_purpose": "LOCATION",
            "city": "Flourtown",
            "state": "PA",
            "postal_code": "190311504",
            "country_code": "US",
            "telephone_number": "215-836-1354",
            "fax_number": "215-836-2605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2451 Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191141031",
            "country_code": "US",
            "telephone_number": "215-934-3471",
            "fax_number": "215-934-3472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2966 Street Rd",
            "address_purpose": "LOCATION",
            "city": "Bensalem",
            "state": "PA",
            "postal_code": "190202604",
            "country_code": "US",
            "telephone_number": "215-638-0666",
            "fax_number": "215-638-3320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAHHAM",
        "first_name": "SARI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD466742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4647 Zion Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921202507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.