NPIMap

Individual provider Active NPI

Deirdre Murray Collins, M.D.

  • Nephrology Physician
  • Willow Grove, PA
National Provider Identifier
1780793430
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD046387L Issued in PA
Practice address
735 Fitzwatertown Rd
Suite 1
Willow Grove, PA 19090-1332
Phone
(215) 657-2012
Fax
(215) 657-2018
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD046387L PA Primary

Addresses

Primary practice location

735 Fitzwatertown Rd
Suite 1
Willow Grove, PA 19090-1332

Mailing address

735 Fitzwatertown Rd
Suite 1
Willow Grove, PA 19090-1332
Phone (215) 657-2012

Other identifiers 10

IdentifierTypeStateIssuer
0017109680001MedicaidPA
231952978OtherPATAX ID
7217075OtherPAAETNA
719588OtherHIGHMARK BLUE SHIELD
0048674000OtherPAIBC
0171096801OtherAMERI CHOICE
02334MD046387LOtherPAHEALTH PARTNERS
1111553OtherPAKEYSTONE MERCY
3384600OtherPACIGNA
390005904OtherPARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101229000342 PA Practitioner - NephrologyPractitioner - Internal Medicine 9739377185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hypertension Nephrology Associates PCGroup PAC ID 6103809967, 17 clinicians

Practice addresses (Care Compare)

735 Fitzwatertown Rd
Suite 1
Willow Grove, PA 19090-1338
Phone (215) 657-2012

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amh Medical Staff Service Fund CurrentSince Feb 3, 2012 Accepting new patients
Hypertension Nephrology Associates, PC Nephrology CurrentSince Jun 18, 1992 Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

721 Arbor Way
Ste 103
Blue Bell, PA 19422
Phone (215) 257-6315

2500 Maryland Rd
Ste 400
Willow Grove, PA 19090
Phone (215) 481-3915

735 Fitzwatertown Rd
Ste 1
Willow Grove, PA 19090
Phone (215) 657-2012

3940B Commerce Ave
Willow Grove, PA 19090
Phone (215) 657-2012

735 Fitzwatertown Rd
Willow Grove, PA 19090
Phone (215) 657-2012

2510 Maryland Rd
Ste 200
Willow Grove, PA 19090

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1780793430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 FITZWATERTOWN RD",
            "address_2": "SUITE 1",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901332",
            "telephone_number": "215-657-2012",
            "fax_number": "215-657-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 FITZWATERTOWN RD",
            "address_2": "SUITE 1",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901332",
            "telephone_number": "215-657-2012",
            "fax_number": "215-657-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "DEIRDRE",
        "middle_name": "MURRAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD046387L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017109680001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "231952978",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7217075",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "719588",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0048674000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERI CHOICE",
            "identifier": "0171096801",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "02334MD046387L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1111553",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3384600",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "390005904",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

Verify at the official NPI Registry.