Individual provider Active NPI

Stephen P Hauptman, DO

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1922068634
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS0020260L Issued in PA
Practice address
2601 Pennsylvania Ave
Unit C6
Philadelphia, PA 19130-2348
Phone
(215) 564-4880
Fax
(215) 564-4890
NPI assigned
Mar 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Allergy & Immunology) Physician 207KI0005X OS002026L PA
Internal Medicine Physician 207R00000X OS0020260L PA Primary
Hematology (Internal Medicine) Physician 207RH0000X OS002026L PA

Addresses

Primary practice location

2601 Pennsylvania Ave
Unit C6
Philadelphia, PA 19130-2348

Mailing address

2601 Pennsylvania Ave
Unit C6
Philadelphia, PA 19130-2312
Phone (215) 564-4880

Other identifiers 12

IdentifierTypeStateIssuer
0007079210007MedicaidPA
0054467000OtherPAAMERIHEALTH
232939425OtherPAUNITED HEALTHCARE
000132832OtherPAAPWU HEALTH PLAN
53725OtherPAAETNA HEALTH MANAGEMENT,L
000155566OtherPAHIGHMARK BLUE SHIELD
000155566OtherPAINDEPENDENCE BLUE CROSS
18553OtherPAHEALTH PARTNERS
232939425OtherPARELIGIOUS MEDICAL
232939425OtherPACIGNA
232939425OtherPAPENNSYLVANIA EMPLOYEES BE
0070792101OtherPAHMA

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
I20060510000053 PA Practitioner - Internal MedicinePractitioner - Allergy/ImmunologyPractitioner - Infectious DiseasePractitioner - Hematology/Oncology 4688685399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Allergy/Immunology, Hematology/Oncology, Infectious Disease
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hauptman Family Health Center PCGroup PAC ID 0244241958, 2 clinicians

Practice addresses (Care Compare)

2601 Pennsylvania Ave
Philadelphia, PA 19130-2314
Phone (215) 564-4880

2601 Pennsylvania Ave
Cu6
Philadelphia, PA 19130-2348

5 Hamilton Cir
Philadelphia, PA 19130-3837

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS002026LPAMDClinical & Laboratory Immunology (Allergy & Immunology) Physician
OS0020260LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lets Get Real Rd LLC PastSince Mar 1, 2006 Accepting new patients
Hauptman Family Health Center PastSince Dec 4, 1978 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shauptman@hfhcp-pa.direct.office.nextgen.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1922068634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 PENNSYLVANIA AVE",
            "address_2": "UNIT C6",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302312",
            "telephone_number": "215-564-4880",
            "fax_number": "215-564-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 PENNSYLVANIA AVE",
            "address_2": "UNIT C6",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302348",
            "telephone_number": "215-564-4880",
            "fax_number": "215-564-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUPTMAN",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "PA",
            "license": "OS002026L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS0020260L",
            "primary": true
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "PA",
            "license": "OS002026L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007079210007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0054467000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "232939425",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APWU HEALTH PLAN",
            "identifier": "000132832",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH MANAGEMENT,L",
            "identifier": "53725",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "000155566",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "000155566",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "18553",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RELIGIOUS MEDICAL",
            "identifier": "232939425",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "232939425",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA EMPLOYEES BE",
            "identifier": "232939425",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMA",
            "identifier": "0070792101",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.