Martin Robert Bohnenkamp, MD
Individual provider Active NPI Internal Medicine Physician · Philadelphia, PA
NPI 1770528259 · NPPES record last updated Aug 22, 2019
Key facts
- NPI
- 1770528259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD444290 (PA)
- Practice address
- 3400 Spruce St
Philadelphia, PA 19104-4206 - Phone
- (215) 662-4000
- NPI assigned
- Jun 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 31
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Penn-Medical Group
Trustees of the University of Pennsylvania
Practice addresses (Care Compare)
3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-4000
3600 Civic Ctr Blvd
3E
Philadelphia, PA 19104-4310
3701 Market St
Philadelphia, PA 19104-5502
Phone (215) 662-2250
3737 Market St
Philadelphia, PA 19104-5545
Phone (215) 662-8777
3801 Filbert St
Penn Center for Primary Care
Philadelphia, PA 19104-2640
Phone (215) 662-9990
Hospital & facility affiliations
- Penn Medicine Home Health
- Penn Presbyterian Medical Center
- Hospital of Univ of Pennsylvania
- Pennsylvania Hospital
- Good Shepherd Penn Partners
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 |
|---|---|---|---|---|
| I20111222000333 | PA | Practitioner - Internal Medicine |
7416952205 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn-Medical Group | Current |
Accepting new patients | |
| University of Penn - Medical Group | Internal Medicine | Current | Accepting new patients |
| Trustees of the University of Pennsylvania | Internal Medicine | Current |
Accepting new patients |
| University of Penn-Medical Group | Internal Medicine | Current |
Accepting new patients |
| Presbyterian Medical Center of the University of Pennsylvania Health S | Past | Accepting new patients | |
| Jefferson Clinic, P.C. | Internal Medicine | Past | Accepting new patients |
| University of Penn - Medical Group | Past | Accepting new patients |
Locations
3400 Spruce St
Fl 6
Philadelphia, PA 19104
Phone (215) 615-0800
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
3737 Market St
Ste 801
Philadelphia, PA 19104
Phone (215) 834-2604
3701 Market St
Fl 1
Philadelphia, PA 19104
Phone (215) 662-2250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | MD444290 | PA | |
| Internal Medicine Physician | 207R00000X | MD444290 | PA | Yes |
Addresses
Primary practice location
3400 Spruce St
Philadelphia, PA 19104-4206
Mailing address
3400 Spruce St
Philadelphia, PA 19104-4206
Phone (215) 662-4000
Other providers in Philadelphia, PA
- Agata M Bogusz
- Sarah Anne Bohannon
- William Forrest Bohler
- Sydney Ariel Bohm
- Flannery Bohne
- Audrey Emery Bohr
- Margaret Catherine Bohr
- Alexis C Boice
- Jaclyn Boileau
- Jenine Elaine Boileau
All providers in Philadelphia, PA · Internal 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 Aug 22, 2019. 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.