NPIMap

Eliane Festa Eakin, MD PHD

Individual provider Active NPI Pediatric Pulmonology Physician · Philadelphia, PA

NPI 1902860554 · NPPES record last updated Feb 23, 2024

Key facts

NPI
1902860554
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Pulmonology Physician 2080P0214X
License
MD068646L (PA)
Practice address
160 E Erie Ave
Philadelphia, PA 19134-1011
Phone
(484) 628-1324
NPI assigned
Apr 12, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 10

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in MS, AL, PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20090825000562 MS Practitioner - Pediatric Medicine 4284607805 Reassigns benefits to 1 organization
I20220301000770 AL Practitioner - Pediatric Medicine
Practitioner - Pulmonary Disease		 4284607805 Reassigns benefits to 1 organization
I20240306001174 PA Practitioner - Pulmonary Disease 4284607805 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
C145488CAMDPediatric Pulmonology Physician

Practice roles (10 of 11)

OrganizationSpecialtyStatusNew patients
STC Pediatrics LLC Pediatrics Current
since Apr 24, 2024		 Accepting new patients
USA Health Physician Billing Services LLC Current
since Mar 1, 2022		 Accepting new patients
Family Health Care Clinic, Inc. Current
since Oct 23, 2016		 Accepting new patients
STC Pediatrics LLC Pediatrics Current Accepting new patients
Family Health Care Clinic, Inc. Current
since Oct 23, 2016		 Accepting new patients
USA Health Physician Billing Services LLC Pediatrics Current
since Mar 1, 2022		 Accepting new patients
Family Health Care Clinic, Inc. Current Accepting new patients
STC Pediatrics LLC Pediatrics Current
since Apr 24, 2024		 Accepting new patients
Rene Salhab MD Inc Pediatrics Past
since Apr 1, 2020		 Accepting new patients
The Children'S Clinic PC Past Accepting new patients

Locations

1601 Center St
Mobile, AL 36604
Phone (251) 410-5437

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

1551 W Government St
Brandon, MS 39042
Phone (601) 825-3163

290 Highway 51 N
Brookhaven, MS 39601
Phone (601) 823-1710

160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067

300 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 427-8363

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: eeakin845513@direct.memorialcare.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C145488 CA
Pediatric Pulmonology Physician 2080P0214X C145488 CA
Pediatric Pulmonology Physician 2080P0214X MD.43855 AL
Pediatric Pulmonology Physician 2080P0214X MD068646L PA Yes

Addresses

Primary practice location

160 E Erie Ave
Philadelphia, PA 19134-1011

Mailing address

PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-1324

Other practice location 1

1601 Center St
Mobile, AL 36604-1541
Phone (251) 410-5437

Other providers in Philadelphia, PA

All providers in Philadelphia, PA · Pediatric Pulmonology Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.