Active NPI
Herbert Patrick, MD
- Pulmonary Disease Physician
- Philadelphia, PA
National Provider Identifier
1811938558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD-021362E
- Practice address
- 219 N Broad St
9TH FL
Philadelphia, PA 19107-1519 - Phone
- (215) 762-2688
- Fax
- (215) 762-2689
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MD-021362E | PA | Primary |
Addresses
Primary practice location
219 N Broad St
9TH FL
Philadelphia, PA 19107-1519
Mailing address
1601 Cherry St
Suite 11511
Philadelphia, PA 19102-1321
Phone (215) 255-7822
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
- Internal Medicine
- Education
- Jefferson Medical College of Thomas Jefferson University, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3998 Red Lion Rd
Philadelphia, PA 19114-1436
Phone (215) 743-1400
Hospital & facility affiliations
- Jefferson Health- Northeast
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-021362E | PA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Health Physicain Services | Current | Accepting new patients | |
| Aria Health Physician Services | Current | Accepting new patients | |
| Jefferson Health - Northeast | Past | Accepting new patients | |
| Jefferson Health - Northeast | Past | Accepting new patients | |
| Sleep Center of Bucks County, Inc. | Past | Accepting new patients | |
| Abington Memorial Hospital | Past | Accepting new patients |
Locations
3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060
Interoperability endpoints
- https://fhir.jefferson.edu/FHIRProxy/HOME/api/FHIR/R4
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Richboro, PA
- NPI 1750949806
-
- Critical Care Medicine (Anesthesiology) Physician
- Philadelphia, PA
- NPI 1649789587
-
- General Acute Care Hospital
- Abington, PA
- NPI 1811992084
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1114095791
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1801963343
-
- Sleep Disorder Diagnostic Clinic/Center
- Newtown, PA
- NPI 1285801720
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1801963343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187308800000",
"number": "1811938558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CHERRY ST",
"address_2": "SUITE 11511",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021321",
"telephone_number": "215-255-7822",
"fax_number": "215-255-7825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 N BROAD ST",
"address_2": "9TH FL",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191071519",
"telephone_number": "215-762-2688",
"fax_number": "215-762-2689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "HERBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2007-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "PA",
"license": "MD-021362E",
"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 Aug 17, 2007; 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.