Active NPI
Jessica L. Desalvo, D.O.
- Internal Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS016649
- Practice address
- 1528 Walnut St Ste 950
Philadelphia, PA 19102-3628 - Phone
- (267) 273-1196
- Fax
- (267) 273-1193
- NPI assigned
- Jun 21, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OT013994 | PA | |
| Internal Medicine Physician | 207R00000X | OS016649 | PA | Primary |
Addresses
Primary practice location
1528 Walnut St Ste 950
Philadelphia, PA 19102-3628
Mailing address
1528 Walnut St Ste 950
Philadelphia, PA 19102-3628
Phone (267) 273-1196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1528 Walnut St
Suite 950
Philadelphia, PA 19102-3628
Phone (856) 872-7055
Hospital & facility affiliations
- Pennsylvania Hospital
- Hospital of Univ of Pennsylvania
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT013994 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Internal Medicine | Current | Accepting new patients |
| Advocare , LLC | Internal Medicine | Current | Accepting new patients |
| Advocare, LLC | Internal Medicine | Current | Accepting new patients |
| Advocare, LLC | Past | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
420 W Rowland St
Covina, CA 91723
Phone (626) 331-6411
601 Torrance Blvd
#1182
Redondo Beach, CA 90277
401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033
1100 Horizon Cir
Ste 101
Chalfont, PA 18914
Phone (215) 394-0400
1528 Walnut St
Ste 950
Philadelphia, PA 19102
Phone (215) 600-4970
Interoperability endpoints
- jessica.desalvo@advocaredoctors.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Internal Medicine Physician
- Manahawkin, NJ
- NPI 1912762162
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- Pediatrics Physician
- Cherry Hill, NJ
- NPI 1780696732
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phila, PA
- NPI 1063489342
-
- 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": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1780970442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1528 WALNUT ST STE 950",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191023628",
"telephone_number": "267-273-1196",
"fax_number": "267-273-1193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1528 WALNUT ST STE 950",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191023628",
"telephone_number": "267-273-1196",
"fax_number": "267-273-1193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESALVO",
"first_name": "JESSICA",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-21",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OT013994",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS016649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.