Active NPI
Jaber M Monla-Hassan, MD
- Critical Care Medicine (Internal Medicine) Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- MD0000038341
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3892561 | Medicaid | TN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38341 | TN | MD | Pharmacist |
| MD0000038341 | TN | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Critical Care Physicians of Pennsylvania PC | Critical Care Medicine | Current | Accepting new patients |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Pulmonary Disease | Current | Accepting new patients |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Blount Memorial Physician Group, Inc | Critical Care Medicine | Past | 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
- 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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Darby, PA
- NPI 1952670085
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1760434468
-
- Pulmonary Disease Physician
- Philadelphia, PA
- NPI 1245297605
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1457047433
-
- General Acute Care Hospital
- East Norriton, PA
- NPI 1104192590
-
- Family Medicine Physician
- Lancaster, PA
- NPI 1932272341
Pulmonary Disease
-
- Family Medicine Physician
- Alcoa, TN
- NPI 1699710194
Critical Care Medicine
-
- Family Medicine Physician
- Alcoa, TN
- NPI 1942238902
Pulmonary Disease
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- East Norriton, PA
- NPI 1104192590
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.