Individual provider Active NPI

Raymond W. Lesser, M.D.

  • Otolaryngology Physician
  • Philadelphia, PA
National Provider Identifier
1871538900
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD035533E Issued in PA
Practice address
1601 Walnut St
Suite 1405
Philadelphia, PA 19102-2944
Phone
(215) 790-1553
Fax
(215) 735-4977
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD035533E PA Primary
Otolaryngology Physician 207Y00000X 25MA05374200 NJ

Addresses

Primary practice location

1601 Walnut St
Suite 1405
Philadelphia, PA 19102-2944

Mailing address

1601 Walnut St
Suite 1405
Philadelphia, PA 19102-2944
Phone (215) 790-1553

Other identifiers 4

IdentifierTypeStateIssuer
0010525760004MedicaidPA
040014829OtherPARAILROAD MEDICARE
3934705MedicaidNJ
P00082329OtherNJRAILROAD MEDICARE

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
I20091215000057 PA Practitioner - Otolaryngology 6406906007 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Otolaryngology Associates PCGroup PAC ID 0941299895, 9 clinicians
Pinnacle ENT Alliance LLCGroup PAC ID 7416963988, 70 clinicians

Practice addresses (Care Compare)

205 N Broad St
Suite 401
Philadelphia, PA 19107-1553
Phone (215) 762-4600

301 W Chester Pike
Suite 101
Havertown, PA 19083-4530
Phone 6104466900230

5501 Old York Rd
Phila, PA 19141-3018
Phone (215) 456-7140

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fornance Physician Services Inc CurrentSince Mar 1, 2021 Accepting new patients
Fornance Physician Services, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Albert Einstein Medical Center Current Accepting new patients
University Otolaryngology Associates PC Otolaryngology CurrentSince Aug 15, 2016 Accepting new patients
Pinnacle ENT Alliance LLC CurrentSince Apr 1, 2012 Accepting new patients
Fornance Physician Services, Inc Current Accepting new patients
Pinnacle ENT Alliance of New Jersey LLC Past Accepting new patients

Locations

301 W Chester Pike
Ste 101
Havertown, PA 19083
Phone (610) 446-6900

210 Mall Blvd
Ste 102
Kng of Prussa, PA 19406
Phone (610) 265-0726

1601 Walnut St
Ste 1405
Philadelphia, PA 19102
Phone (215) 790-1553

5501 Old York Rd
Ste 2
Philadelphia, PA 19141
Phone (215) 456-7130

205 N Broad St
Ste 401
Philadelphia, PA 19107
Phone (215) 569-3155

994 Old Eagle School Rd
Ste 1017
Wayne, PA 19087
Phone (610) 902-6092

Interoperability endpoints

  • Direct secure messaging: rwl216@uoaehn.direct.mctdoc.com
  • Direct secure messaging: raymond.lesser@penta.eclinicaldirectplus.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1871538900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 WALNUT ST",
            "address_2": "SUITE 1405",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022944",
            "telephone_number": "215-790-1553",
            "fax_number": "215-735-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WALNUT ST",
            "address_2": "SUITE 1405",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022944",
            "telephone_number": "215-790-1553",
            "fax_number": "215-735-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSER",
        "first_name": "RAYMOND",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD035533E",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA05374200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010525760004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040014829",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3934705",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00082329",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.