Organization Active NPI

Temple Physicians Inc

  • Cardiovascular Disease Physician
  • Philadelphia, PA
National Provider Identifier
1730405226
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
TEMPLE PHYSICIANS INC
Practice address
100 E Lehigh Ave Ste 204
Philadelphia, PA 19125-1012
Phone
(215) 707-1160
Fax
(215) 707-1157
NPI assigned
Apr 9, 2010
Last updated
Oct 9, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
TEMPLE PHYSICIANS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

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

Authorized official

Name
Richard Vaughn
Title
Lead Cred Specialist
Phone
(215) 926-9019

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

100 E Lehigh Ave Ste 204
Philadelphia, PA 19125-1012

Mailing address

2646 Lefevre St
Philadelphia, PA 19137-1733
Phone (215) 831-5147

Other identifiers 2

IdentifierTypeStateIssuer
CD4829OtherPARR MEDICARE
597586OtherPAMEDICARE GROUP

Other names 1

  • Mosen Alavi, MD Cardiology Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000054 PA Part B Supplier - Clinic/Group Practice 2062317233 Receives reassigned benefits from 494 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Part of
Temple Physicians Inc C

Locations

100 E Lehigh Ave
Ste 204
Philadelphia, PA 19125
Phone (215) 707-1160

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507507200000",
    "number": "1730405226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 LEFEVRE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191371733",
            "telephone_number": "215-831-5147",
            "fax_number": "215-831-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LEHIGH AVE STE 204",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251012",
            "telephone_number": "215-707-1160",
            "fax_number": "215-707-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE PHYSICIANS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEMPLE PHYSICIANS INC",
        "enumeration_date": "2010-04-09",
        "last_updated": "2017-10-09",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "LEAD CRED SPECIALIST",
        "authorized_official_telephone_number": "215-926-9019"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CD4829",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "597586",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mosen Alavi, MD Cardiology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.