Organization Active NPI

Philadelphia Heart, P C

  • Cardiovascular Disease Physician
  • Philadelphia, PA
National Provider Identifier
1821389933
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD067672L Issued in PA
Legal business name
PHILADELPHIA HEART, P C
Practice address
1332 W Ritner St
Philadelphia, PA 19148-3537
Phone
(267) 319-1939
Fax
(267) 319-1483
NPI assigned
Apr 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Dr. Asif I Hussain, M.D.NPI 1376586313
Title
Owner
Phone
(267) 319-1939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X OS0126360L PA
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X MD067672L PA Primary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X

Addresses

Primary practice location

1332 W Ritner St
Philadelphia, PA 19148-3537

Mailing address

1332 W Ritner St
Philadelphia, PA 19148-3537
Phone (267) 319-1939

Other names 1

  • Philadelphia Heart, P C Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110926000239 PA Part B Supplier - Clinic/Group Practice 7214108158 Receives reassigned benefits from 6 practitioners
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

1332 W Ritner St
Philadelphia, PA 19148
Phone (215) 755-6143

2201 S 3rd St
Philadelphia, PA 19148
Phone (267) 319-1939

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1821389933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 W RITNER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191483537",
            "telephone_number": "267-319-1939",
            "fax_number": "267-319-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 W RITNER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191483537",
            "telephone_number": "267-319-1939",
            "fax_number": "267-319-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA HEART, P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "ASIF",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-319-1939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS0126360L",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD067672L",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philadelphia Heart, P C",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Philadelphia Heart, P C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 3, 2022; 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.