Eliza Dianne Adam
Individual provider Active NPI Family Medicine Physician · Philadelphia, PA
NPI 1861337073 · NPPES record last updated Apr 22, 2026
Key facts
- NPI
- 1861337073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MT236267 (PA)
- Practice address
- 8835 Germantown Ave
Philadelphia, PA 19118-2718 - Phone
- (215) 248-8200
- NPI assigned
- Apr 22, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260519004575 | PA | Order and Referring Only - Family Practice |
6901375914 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT236267 | PA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MT236267 | PA | Yes |
Addresses
Primary practice location
8835 Germantown Ave
Philadelphia, PA 19118-2718
Mailing address
2520 W Union St
Allentown, PA 18104-6223
Phone (484) 375-3443
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.