Active NPI
Stephanie Diane Flagg, M.D.
- Rheumatology Physician
- Bryn Mawr, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- MD073853L
- Practice address
- 825 Old Lancaster Rd
Suite 320
Bryn Mawr, PA 19010-3231 - Phone
- (610) 527-3800
- Fax
- (610) 527-2854
- NPI assigned
- Jul 12, 2005
- Last updated
- Apr 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | MD073853L | PA | Primary |
Addresses
Primary practice location
825 Old Lancaster Rd
Suite 320
Bryn Mawr, PA 19010-3231
Mailing address
825 Old Lancaster Rd
Suite 320
Bryn Mawr, PA 19010-3231
Phone (610) 527-3800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019746800003 | Medicaid | PA | |
| 0019746800001 | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Perelman School of Med at the University of Pennsylvania, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
825 Old Lancaster Rd
Suite 320
Bryn Mawr, PA 19010-3235
Phone (610) 527-3800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD073853L | PA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryn Mawr Medical Specialists Association | Current | Accepting new patients |
Locations
825 Old Lancaster Rd
Ste 320
Bryn Mawr, PA 19010
Phone (610) 524-3800
825 Old Lancaster Rd
Ste 470
Bryn Mawr, PA 19010
Phone (610) 525-4463
955 E Haverford Rd
Ste 200
Bryn Mawr, PA 19010
Interoperability endpoints
- stephanie.flagg@bmmsa.directbygreenway.com
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Bryn Mawr, PA
- NPI 1841226099
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lankenau Hospital
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
-
dba Bryn Mawr Hospital
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
-
- General Acute Care Hospital
- Media, PA
- NPI 1407856099
-
dba Hospital of the University of Pennsylvania
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491350400000",
"number": "1780682815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 OLD LANCASTER RD",
"address_2": "SUITE 320",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103231",
"telephone_number": "610-527-3800",
"fax_number": "610-527-2854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 OLD LANCASTER RD",
"address_2": "SUITE 320",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103231",
"telephone_number": "610-527-3800",
"fax_number": "610-527-2854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAGG",
"first_name": "STEPHANIE",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-12",
"last_updated": "2017-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "PA",
"license": "MD073853L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019746800003",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019746800001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.