Active NPI
Jiji Syamala, M.D.
- Internal Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD432320
- Practice address
- 4900 Frankford Ave
Philadelphia, PA 19124-2618 - Phone
- (215) 831-2000
- Fax
- (215) 807-8235
- NPI assigned
- Jun 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | MD432320 | PA | |
| Internal Medicine Physician | 207R00000X | MD432320 | PA | Primary |
Addresses
Primary practice location
4900 Frankford Ave
Philadelphia, PA 19124-2618
Mailing address
PO Box 8500-6335
Philadelphia, PA 19178-0001
Phone (215) 807-8000
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1747437 | Other | PA | AETNA |
| 38876 | Other | PA | HEALTH PARTNERS |
| 102168440001 | Medicaid | PA | |
| 2865242000 | Other | PA | KEYSTONE IBC |
| 2865242000 | Other | PA | PERSONAL CHOICE |
| 1990096 | Other | PA | HIGHMARK BLUE SHIELD |
| 1679778062 | Other | PA | NPI # |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
595 W State St
Doylestown Health Hospitalists
Doylestown, PA 18901-2554
Phone (215) 345-2885
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD432320 | PA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Specialty Associates | Current | Accepting new patients | |
| Clinical Specialty Associates | Current | Accepting new patients | |
| Via Affiliates | Current | Accepting new patients | |
| Via Affiliates | Current | Accepting new patients | |
| Via Affiliates | Current | Accepting new patients | |
| Doylestown Hospital | Current | Accepting new patients |
Locations
595 W State St
Doylestown, PA 18901
Phone (215) 345-2200
701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000
Interoperability endpoints
- jijisyamala@dh.medalliesdirect.net
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Bala Cynwyd, PA
- NPI 1184431900
-
- Vascular Surgery Physician
- Doylestown, PA
- NPI 1003446261
-
- Infectious Disease Physician
- Bala Cynwyd, PA
- NPI 1932992609
-
- General Acute Care Hospital
- Doylestown, PA
- NPI 1225091697
-
- Psychologist
- Warrington, PA
- NPI 1588489272
-
- Physical Medicine & Rehabilitation Physician
- Newtown, PA
- NPI 1669184578
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Doylestown, PA
- NPI 1225091697
-
- Community Based Hospice Care Agency
- Doylestown, PA
- NPI 1871559419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1679778062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8500-6335",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780001",
"telephone_number": "215-807-8000",
"fax_number": "215-807-8235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 FRANKFORD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191242618",
"telephone_number": "215-831-2000",
"fax_number": "215-807-8235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYAMALA",
"first_name": "JIJI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD432320",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD432320",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1747437",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "38876",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102168440001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE IBC",
"identifier": "2865242000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "2865242000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1990096",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI #",
"identifier": "1679778062",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.