Individual provider Active NPI

Sharon M Elvey, M.D.

  • Pediatric Adolescent Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1851360101
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
MD024858E Issued in PA
Practice address
2129 W Oregon Ave
First Floor Rear
Philadelphia, PA 19145-4131
Phone
(215) 462-6106
Fax
(215) 462-5922
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X MD024858E PA Primary

Addresses

Primary practice location

2129 W Oregon Ave
First Floor Rear
Philadelphia, PA 19145-4131

Mailing address

2129 W Oregon Ave
First Floor Rear
Philadelphia, PA 19145-4131
Phone (215) 462-6106

Other identifiers 1

IdentifierTypeStateIssuer
000802232001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD024858EPAMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric and Adolescent Medicine Group Adolescent Medicine Past Accepting new patients

Organizations & group practices 1

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1851360101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 W OREGON AVE",
            "address_2": "FIRST FLOOR REAR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454131",
            "telephone_number": "215-462-6106",
            "fax_number": "215-462-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 W OREGON AVE",
            "address_2": "FIRST FLOOR REAR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454131",
            "telephone_number": "215-462-6106",
            "fax_number": "215-462-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELVEY",
        "first_name": "SHARON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PA",
            "license": "MD024858E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000802232001",
            "state": "PA"
        }
    ],
    "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 Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.