Jessy Tom Pattaniyil, NPC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP010182 Issued in PA

Practice address

6501 Harbison Ave
Philadelphia, PA 19149-2912

Phone

(215) 333-4300

Fax

(215) 333-2044

NPI assigned

Apr 20, 2009

Last updated

May 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Minuteclinic Video Virtual Care, PLLCGroup PAC ID 0143650416, 36 clinicians

Minuteclinic Diagnostic of Pennsylvania LLCGroup PAC ID 5395827307, 84 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Minuteclinic Diagnostic of Pennsylvania LLC

  • Family Nurse Practitioner
  • Bryn Mawr, PA
  • NPI 1881738037
  Medicare reassignment Care Compare group NPD
• Minuteclinic Video Virtual Care, PLLC

  • Family Nurse Practitioner
  • Woonsocket, RI
  • NPI 1316402746

  PA

  Medicare reassignment Care Compare group NPD
• Advanced Behavioral Health

  • Psychologist
  • Philadelphia, PA
  • NPI 1952570558
  NPD (past)
• Temple Physicians Inc

  • Urgent Care Clinic/Center
  • Fort Washington, PA
  • NPI 1003167115
  NPD (past)
• Temple Physicians Inc

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1164841946
  NPD (past)
• Temple Physicians Inc

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1295125235
  NPD (past)
• Temple Physicians Inc

  • Urgent Care Clinic/Center
  • Philadelphia, PA
  • NPI 1811248925
  NPD (past)
• Temple Physicians Inc

  • Family Medicine Physician
  • Flourtown, PA
  • NPI 1952642936
  NPD (past)

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1780827816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 HARBISON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492912",
            "telephone_number": "215-333-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 HARBISON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492912",
            "telephone_number": "215-333-4300",
            "fax_number": "215-333-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTANIYIL",
        "first_name": "JESSY",
        "middle_name": "TOM",
        "name_prefix": "Mrs.",
        "credential": "NPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI MEDICAID GROUP ID",
            "identifier": "1007278000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI MEDICARE GROUP",
            "identifier": "597586",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI RAILROAD MEDICARE GROUP",
            "identifier": "CD4829",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phalgunee Patro, MD
• Ana Maria Patsiornik, FNP-C
• Joslyn Pattani- Raines
• Needhi Pattani, D.O.
• Dhivya T Pattaniyil, MSN, CRNP
• Pattern & Presence Wellness Co.
• Aliyia Nicole Patterson-Brooks, CRNA
• Jeanne Patterson-Cohen, D.O.
• Charles Patterson Jr.
• Chavis Patterson, PHD

• Family Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.

Verify at the official NPI Registry.