Deepthi Reddy Foxhall, M.D.
Individual provider Active NPI Family Medicine Physician · Philadelphia, PA
NPI 1720115280 · NPPES record last updated May 21, 2014
Key facts
- NPI
- 1720115280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD431173 (PA)
- Practice address
- 2230 Cottman Ave
Health Center # 10
Philadelphia, PA 19149-1230 - Phone
- (215) 685-0604
- Fax
- (215) 685-0641
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Wisconsin School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- City of Philadelphia
Practice addresses (Care Compare)
2230 Cottman Ave
Philadelphia, PA 19149-1230
Phone (215) 685-0602
Hospital & facility affiliations
- Jefferson Einstein Philadelphia Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071030000598 | PA | Practitioner - Family Practice | 1658468111 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Philadelphia | Current |
Accepting new patients | |
| City of Philadelphia | Current | Accepting new patients | |
| City of Philadelphia | Current |
Accepting new patients | |
| City of Philadelphia | Past | Accepting new patients |
Locations
2230 Cottman Ave
#10
Philadelphia, PA 19149
Phone (215) 685-0602
2230 Cottman Ave
Philadelphia, PA 19149
Phone (215) 685-0603
1101 Market St
Fl 10
Philadelphia, PA 19107
4400 Haverford Ave
#4
Philadelphia, PA 19104
Phone (215) 685-7600
Interoperability endpoints
- deepthi.foxhall@pdphahs.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD431173 | PA | Yes |
Addresses
Primary practice location
2230 Cottman Ave
Health Center # 10
Philadelphia, PA 19149-1230
Mailing address
2230 Cottman Ave
Philadelphia, PA 19149-1230
Phone (215) 685-3808
Other names
- Miss Deepthi Shankara Reddy
Other providers in Philadelphia, PA
- Nicholas James Fox
- Rachel S Fox
- Sarah Fox
- Taylor Fox
- William W Fox
- Anessa M Foxwell
- Shannel Foxworth
- Caleb Foy Sr.
- Danielle Foy
- Reginald Darnell Foy
All providers in Philadelphia, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.