Individual provider Active NPI

Hannah Brotzman Anastasio, MD

  • Maternal & Fetal Medicine Physician
  • Fountain Hill, PA
National Provider Identifier
1760749055
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MD457168 Issued in PA
Practice address
701 Ostrum St Ste 303
Fountain Hill, PA 18015-1152
Phone
(484) 526-3900
Fax
(484) 526-3908
NPI assigned
Apr 12, 2012
Last updated
Dec 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X MD457168 PA Primary

Addresses

Primary practice location

701 Ostrum St Ste 303
Fountain Hill, PA 18015-1152

Mailing address

701 Ostrum St Ste 303
Fountain Hill, PA 18015-1152
Phone (484) 526-3900

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
I20160823000058 PA Practitioner - Obstetrics/Gynecology 9537319694 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD457168PAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc CurrentSince Jan 1, 2023 Accepting new patients
Jefferson University Physicians Obstetrics & Gynecology CurrentSince Aug 15, 2016 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Aug 1, 2019 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Aug 1, 2019 Accepting new patients
Star Community Health, Inc CurrentSince Jan 1, 2023 Accepting new patients
St. Luke's Physician Group, Inc. Maternal & Fetal Medicine Past Accepting new patients

Locations

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

1872 St Lukes Blvd
Easton, PA 18045
Phone (484) 503-1200

1251 Turnstone Dr
Fogelsville, PA 18051
Phone (484) 526-3900

701 Ostrum St
Ste 303
Fountain Hill, PA 18015
Phone (484) 526-3900

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

833 Chestnut St
Fl 1
Philadelphia, PA 19107
Phone (215) 955-1085

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Interoperability endpoints

  • Direct secure messaging: hannah.anastasio@slpg.direct-sluhn.org

Organizations & group practices 7

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": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1760749055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 OSTRUM ST STE 303",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151152",
            "telephone_number": "484-526-3900",
            "fax_number": "844-526-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 OSTRUM ST STE 303",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151152",
            "telephone_number": "484-526-3900",
            "fax_number": "484-526-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANASTASIO",
        "first_name": "HANNAH",
        "middle_name": "BROTZMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-12",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "PA",
            "license": "MD457168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hill, PA

Sources for this page

Verify at the official NPI Registry.