NPIMap

Individual provider Active NPI

Stephanie Wirtshafter, DO

  • Nephrology Physician
  • Philadelphia, PA
National Provider Identifier
1679030605
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
OS021115 Issued in PA
Practice address
10 E. Moreland Ave.
Suite 100
Philadelphia, PA 19118-3562
Phone
(267) 437-3176
Fax
(267) 437-3176
NPI assigned
Feb 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X OS021115 PA Primary

Addresses

Primary practice location

10 E. Moreland Ave.
Suite 100
Philadelphia, PA 19118-3562

Mailing address

10 E. Moreland Ave.
Suite 100
Philadelphia, PA 19118-3562
Phone (267) 385-5538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230607002886 PA Practitioner - NeurologyPractitioner - Internal MedicinePractitioner - Hospitalist 8527425479 Reassigns benefits to 1 organization
I20240606003559 PA Practitioner - Nephrology 8527425479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Philadelphia College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Care Specialists LLCGroup PAC ID 9931450079, 41 clinicians

Practice addresses (Care Compare)

10 E Moreland Ave
Suite 100
Philadelphia, PA 19118-3562
Phone (267) 437-3163

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
73.58
Promoting interoperability
100
Improvement activities
40
Cost
76.13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Jul 1, 2023 Accepting new patients
Kidney Care Specialists LLC Single Specialty CurrentSince Aug 1, 2024 Accepting new patients
University of Penn - Medical Group Single Specialty CurrentSince Jul 1, 2023 Accepting new patients

Locations

1230 S Cedar Crest Blvd
Ste 301
Allentown, PA 18103
Phone (610) 432-4873

2000 Sproul Rd
Ste 300
Broomall, PA 19008
Phone (610) 356-3700

125 Medical Campus Dr
Ste 300
Lansdale, PA 19446
Phone (215) 362-7125

10 E Moreland Ave
Ste 100
Philadelphia, PA 19118
Phone (267) 385-5538

1105 Bethlehem Pike
#B5
Sellersville, PA 18960
Phone (215) 257-4533

Interoperability endpoints

  • Direct secure messaging: swirtshafter65891@direct.acumenmd.com

Organizations & group practices 3

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.

Hospital & facility affiliations 12

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": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1679030605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E. MORELAND AVE.",
            "address_2": "SUITE 100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183562",
            "telephone_number": "267-385-5538",
            "fax_number": "267-437-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E. MORELAND AVE.",
            "address_2": "SUITE 100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183562",
            "telephone_number": "267-437-3176",
            "fax_number": "267-437-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRTSHAFTER",
        "first_name": "STEPHANIE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "OS021115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.