Individual provider Active NPI

Robert S Fenning, M.D.

  • Interventional Cardiology Physician
  • Philadelphia, PA
National Provider Identifier
1679735211
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD441155 Issued in PA
Practice address
3400 Spruce St
9 Gates
Philadelphia, PA 19104
Phone
(215) 662-2884
NPI assigned
Jun 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD441155 PA Primary

Addresses

Primary practice location

3400 Spruce St
9 Gates
Philadelphia, PA 19104

Mailing address

3400 Spruce St
9 Gates
Philadelphia, PA 19104-4206
Phone (215) 662-2884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20150914000997 PA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7517274236 Reassigns benefits to 2 organizations
I20150916000244 NJ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7517274236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Perelman School of Med at the University of Pennsylvania, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, shared by 7 NPIs, 793 clinicians

Practice addresses (Care Compare)

1 E New York Ave Mob 2ND FL
Penn Cardiology Somers Point
Somers Point, NJ 08244-2340
Phone (609) 365-3100

1865 Route 70 E 260
Penn Cardiology Cherry Hill
Cherry Hill, NJ 08003-2013
Phone (856) 216-0300

211 S Main St
Suite 205
Cape May Court House, NJ 08210-2264
Phone (609) 463-0800

5000 Dearborn Cir
Suite 100a
Mount Laurel, NJ 08054-4108
Phone (609) 871-7070

51 N 39TH St 4 HVP
Penn Cardiology Penn Presbyterian 4TH Floor
Philadelphia, PA 19104-2640
Phone (215) 662-9189

Hospital & facility affiliations

  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010
  • Shore Medical Center Hospital, Somers Point, NJ, CCN 310047
  • Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting40
Pacemaker insertion or repair1-10
Varicose vein removal13
Leg revascularization (restoring blood flow)25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD441155PAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Aug 13, 2015 Accepting new patients
University of Penn - Medical Group Interventional Cardiology CurrentSince Aug 13, 2015 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Aug 13, 2015 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Aug 13, 2015 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Current Accepting new patients
Clinical Health Care Associates of New Jersey PC Interventional Cardiology CurrentSince Sep 1, 2015 Accepting new patients

Locations

211 S Main St
Ste 205
Cape May Court House, NJ 08210
Phone (609) 463-0800

1865 Route 70 E
Ste 260
Cherry Hill, NJ 08003
Phone (215) 662-9595

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

5000 Dearborn Cir
Ste 100A
Mount Laurel, NJ 08054
Phone (609) 871-7070

200 Campbell Dr
Ste 107
Willingboro, NJ 08046
Phone (609) 614-3997

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

1338 Bristol Pike
Ste 100
Bensalem, PA 19020
Phone (215) 447-1430

906 Bethlehem Pike
Glenside, PA 19038
Phone (215) 836-2127

605 W State St
Media, PA 19063
Phone (610) 565-8600

51 N 39th St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-9189

7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311

51 N 39th St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-9010

3400 Spruce St
Fl 9
Philadelphia, PA 19104
Phone (215) 662-2891

33 E Chestnut Hill Ave
Lowr
Philadelphia, PA 19118
Phone (215) 248-1350

777 Township Line Rd
Fl 1
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 6

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 6

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1679735211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "9 GATES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-662-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "9 GATES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-662-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNING",
        "first_name": "ROBERT",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD441155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.