Individual provider Active NPI

Deborah Everts Hoellein, M.D.

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1699788182
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD023676E Issued in PA
Practice address
131 E Chelten Ave
Health Care Center #9
Philadelphia, PA 19144-2153
Phone
(215) 685-5701
Fax
(215) 685-5748
NPI assigned
Aug 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD023676E PA Primary

Addresses

Primary practice location

131 E Chelten Ave
Health Care Center #9
Philadelphia, PA 19144-2153

Mailing address

500 S Broad St
Suite 360
Philadelphia, PA 19146-1613
Phone (215) 685-6769

Other identifiers 1

IdentifierTypeStateIssuer
01-1018091MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110531000634 PA Practitioner - Pediatric Medicine 1355528399 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
City of Philadelphia CurrentSince Apr 12, 2011 Accepting new patients
City of Philadelphia CurrentSince Apr 12, 2011 Accepting new patients
City of Philadelphia Current Accepting new patients
Mt. Airy Pediatrics, P.C. Pediatrics Past Accepting new patients
Mt Airy Pediatrics, LLP Pediatrics Past Accepting new patients

Locations

1101 Market St
Fl 10
Philadelphia, PA 19107

131 E Chelten Ave
#9
Philadelphia, PA 19144
Phone (215) 685-2251

4400 Haverford Ave
#4
Philadelphia, PA 19104
Phone (215) 685-7600

500 S Broad St
Ste 360
Philadelphia, PA 19146

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2655/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699788182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S BROAD ST",
            "address_2": "SUITE 360",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461613",
            "telephone_number": "215-685-6769",
            "fax_number": "215-685-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E CHELTEN AVE",
            "address_2": "HEALTH CARE CENTER #9",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442153",
            "telephone_number": "215-685-5701",
            "fax_number": "215-685-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOELLEIN",
        "first_name": "DEBORAH",
        "middle_name": "EVERTS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD023676E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01-1018091",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.