NPIMap

Organization Active NPI

Temple Physicians Inc

  • Urgent Care Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1811248925
Registry record updated Jul 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
TEMPLE PHYSICIANS INC
Practice address
11000 Roosevelt Blvd
360
Philadelphia, PA 19116-3961
Phone
(215) 677-1475
Fax
(215) 677-3082
NPI assigned
Sep 28, 2012
Organization subpart
Yes
Parent organization
TEMPLE PHYSICIANS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2013

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

Authorized official

Name
Lynnie Savering
Title
Director Billing Office
Phone
(215) 926-9010

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

11000 Roosevelt Blvd
360
Philadelphia, PA 19116-3961

Mailing address

PO Box 820933
Philadelphia, PA 19182-0933
Phone (215) 677-1475

Other identifiers 3

IdentifierTypeStateIssuer
1007278000OtherPATPI MEDICAID GROUP
597586OtherPATPI MEDICARE GROUP
CD4829OtherPATPI RAILROAD MEDICARE GROUP

Other names 1

  • Temple Physicians-Boulevard Plaza Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000054 PA Part B Supplier - Clinic/Group Practice 2062317233 Receives reassigned benefits from 494 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Part of
Temple Physicians Inc

Locations

11000 Roosevelt Blvd
Unit 360
Philadelphia, PA 19116
Phone (215) 677-1475

9331 Old Bustleton Ave
Ste 100
Philadelphia, PA 19115
Phone (215) 671-0653

11000 Roosevelt Blvd
Ste 360
Philadelphia, PA 19116

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373155200000",
    "number": "1811248925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820933",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191820933",
            "telephone_number": "215-677-1475",
            "fax_number": "215-677-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 ROOSEVELT BLVD",
            "address_2": "360",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163961",
            "telephone_number": "215-677-1475",
            "fax_number": "215-677-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE PHYSICIANS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEMPLE PHYSICIANS INC",
        "enumeration_date": "2012-09-28",
        "last_updated": "2013-07-07",
        "status": "A",
        "authorized_official_last_name": "SAVERING",
        "authorized_official_first_name": "LYNNIE",
        "authorized_official_title_or_position": "DIRECTOR BILLING OFFICE",
        "authorized_official_telephone_number": "215-926-9010"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI MEDICAID GROUP",
            "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": [
        {
            "organization_name": "Temple Physicians-Boulevard Plaza",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.