Individual provider Active NPI

Gail Joanna Waltz, MD

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1841878485
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD484542 Issued in PA
Practice address
834 Chestnut St Ste 306
Philadelphia, PA 19107-5100
Phone
(215) 545-8188
NPI assigned
Apr 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD484542 PA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

834 Chestnut St Ste 306
Philadelphia, PA 19107-5100

Mailing address

834 Chestnut St Ste 306
Philadelphia, PA 19107-5100

Other practice location 1

3420 5th Ave
Pittsburgh, PA 15213-3205
Phone (412) 692-6000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530000352 PA Practitioner - Pediatric Medicine 8123429156 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Jun 22, 2024 Accepting new patients
Advocare, LLC Pediatrics CurrentSince Jun 22, 2024 Accepting new patients
Advocare, LLC Pediatrics Past Accepting new patients

Locations

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

834 Chestnut St
Ste 306
Philadelphia, PA 19107
Phone (215) 545-8188

Interoperability endpoints

  • Direct secure messaging: gail.waltz@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1841878485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 CHESTNUT ST STE 306",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 CHESTNUT ST STE 306",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075100",
            "telephone_number": "215-545-8188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3420 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152133205",
            "country_code": "US",
            "telephone_number": "412-692-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTZ",
        "first_name": "GAIL",
        "middle_name": "JOANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD484542",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.