Active NPI
Stephen P Hauptman, DO
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1922068634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS0020260L
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007079210007 | Medicaid | PA | |
| 0054467000 | Other | PA | AMERIHEALTH |
| 232939425 | Other | PA | UNITED HEALTHCARE |
| 000132832 | Other | PA | APWU HEALTH PLAN |
| 53725 | Other | PA | AETNA HEALTH MANAGEMENT,L |
| 000155566 | Other | PA | HIGHMARK BLUE SHIELD |
| 000155566 | Other | PA | INDEPENDENCE BLUE CROSS |
| 18553 | Other | PA | HEALTH PARTNERS |
| 232939425 | Other | PA | RELIGIOUS MEDICAL |
| 232939425 | Other | PA | CIGNA |
| 232939425 | Other | PA | PENNSYLVANIA EMPLOYEES BE |
| 0070792101 | Other | PA | HMA |
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
- Internal Medicine
- 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OS002026L | PA | MD | Clinical & Laboratory Immunology (Allergy & Immunology) Physician |
| OS0020260L | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lets Get Real Rd LLC | Past | Accepting new patients | |
| Hauptman Family Health Center | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Chiropractor
- Philadelphia, PA
- NPI 1598724817
-
- Registered Dietitian
- Philadelphia, PA
- NPI 1487842969
-
- Registered Dietitian
- Sellersville, PA
- NPI 1659830750
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.