NPIMap

Organization Active NPI

TPS IV of PA, LLC

  • Body Imaging Physician
  • Phila, PA
National Provider Identifier
1740248905
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
Legal business name
TPS IV OF PA, LLC
Practice address
245 N 15TH St
Ms 310
Phila, PA 19102-1101
Phone
(215) 762-4312
Fax
(215) 762-8656
NPI assigned
May 3, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
PO Chou
Title
Director of Finance and Operations
Phone
(215) 762-4798

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X
Orthopaedic Surgery Physician 207X00000X
Body Imaging Physician 2085B0100X Primary
Trauma Surgery Physician 2086S0127X

Addresses

Primary practice location

245 N 15TH St
Ms 310
Phila, PA 19102-1101

Mailing address

245 N 15TH St
Ms 310
Phila, PA 19102-1101
Phone (215) 762-4312

Other identifiers 1

IdentifierTypeStateIssuer
1011365340001MedicaidPA

National Provider Directory

National Provider Directory

Locations

245 N 15th St
#310
Philadelphia, PA 19102
Phone (215) 762-7922

401 Market St
Philadelphia, PA 19106

Practitioners & affiliated clinicians

Practitioners 46

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.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1740248905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N 15TH ST",
            "address_2": "MS 310",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191021101",
            "telephone_number": "215-762-4312",
            "fax_number": "215-762-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N 15TH ST",
            "address_2": "MS 310",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191021101",
            "telephone_number": "215-762-4312",
            "fax_number": "215-762-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TPS IV OF PA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CHOU",
        "authorized_official_first_name": "PO",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE AND OPERATIONS",
        "authorized_official_telephone_number": "215-762-4798"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011365340001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.