Individual provider Active NPI

Jaber M Monla-Hassan, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Philadelphia, PA
National Provider Identifier
1871670943
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
MD0000038341 Issued in TN
Practice address
5401 Old York Rd Ste 300
Philadelphia, PA 19141-3045
Phone
(215) 456-6950
Fax
(215) 456-1766
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD0000038341 TN Primary
Pulmonary Disease Physician 207RP1001X 38341 TN
Sleep Medicine (Internal Medicine) Physician 207RS0012X 38341 TN

Addresses

Primary practice location

5401 Old York Rd Ste 300
Philadelphia, PA 19141-3045

Mailing address

101 E Olney Ave
Philadelphia, PA 19120-2421

Other practice location 1

9880 Bustleton Ave Ste 220
Philadelphia, PA 19115-2143
Phone (215) 456-6950

Other practice location 2

60 Township Line Rd
Elkins Park, PA 19027-2220
Phone (215) 456-6950

Other practice location 3

907 E LaMar Alexander Pkwy
Maryville, TN 37804-5015
Phone (865) 983-7211

Other practice location 4

907 E LaMar Alexander Pkwy
Maryville, TN 37804-5015
Phone (865) 983-7211

Other identifiers 1

IdentifierTypeStateIssuer
3892561MedicaidTN

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
I20080228000060 PA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1052308756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Critical Care Physicians of Pennsylvania PCGroup PAC ID 2466610498, 51 clinicians

Practice addresses (Care Compare)

1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (866) 212-7753

559 W Germantown Pike
Einstein Med Ctr Montgomery
East Norriton, PA 19403-4250
Phone (484) 622-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38341TNMDPharmacist
MD0000038341TNMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Critical Care Physicians of Pennsylvania PC Critical Care Medicine CurrentSince Apr 1, 2018 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Einstein Practice Plan Inc Pulmonary Disease CurrentSince Jul 15, 2017 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jul 15, 2017 Accepting new patients
Blount Memorial Physician Group, Inc Critical Care Medicine PastSince Sep 20, 2004 Accepting new patients
East Tennessee Medical Group, PC Pulmonary Disease Past Accepting new patients
Lancaster Hma Physician Management, LLC Pulmonary Disease Past Accepting new patients
Einstein Medical Center Montgomery Past Accepting new patients

Locations

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

60 Township Line Rd
Elkins Park, PA 19027
Phone (215) 663-6000

5501 York Rd
Ste 202
Philadelphia, PA 19141
Phone (215) 254-2630

9880 Bustleton Ave
Ste 220
Philadelphia, PA 19115
Phone (215) 456-7900

5401 Old York Rd
Ste 300
Philadelphia, PA 19141
Phone (215) 456-6950

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5401 Old York Rd
Ste 331
Philadelphia, PA 19141
Phone (215) 456-6948

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1871670943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 OLD YORK RD STE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413045",
            "telephone_number": "215-456-6950",
            "fax_number": "215-456-1766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9880 Bustleton Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191152143",
            "country_code": "US",
            "telephone_number": "215-456-6950",
            "fax_number": "215-456-1766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Township Line Rd",
            "address_purpose": "LOCATION",
            "city": "Elkins Park",
            "state": "PA",
            "postal_code": "190272220",
            "country_code": "US",
            "telephone_number": "215-456-6950",
            "fax_number": "215-456-1766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "907 E LaMar Alexander Pkwy",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378045015",
            "country_code": "US",
            "telephone_number": "865-983-7211",
            "fax_number": "865-273-1755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "907 E LaMar Alexander Pkwy",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378045015",
            "country_code": "US",
            "telephone_number": "865-983-7211",
            "fax_number": "865-273-1755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONLA-HASSAN",
        "first_name": "JABER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "MD0000038341",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "38341",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TN",
            "license": "38341",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3892561",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.