Individual provider Active NPI

Jamie F Altman, MD

  • Dermatology Physician
  • Media, PA
National Provider Identifier
1932139342
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD421271 Issued in PA
Practice address
176 S New Middletown Rd Ste 203
Media, PA 19063
Phone
(610) 566-7300
Fax
(610) 891-8973
NPI assigned
Jul 3, 2006
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD421271 PA Primary

Addresses

Primary practice location

176 S New Middletown Rd Ste 203
Media, PA 19063

Mailing address

176 S New Middletown Rd Ste 203
Media, PA 19063-5255
Phone (610) 566-7300

Other identifiers 11

IdentifierTypeStateIssuer
2149419000OtherAMERIHEALTH HMO
001465172OtherBCBS
1465172OtherHIGHMARK
2149419000OtherIBC
001465172OtherAMERIHEALTH
001465172OtherPERSONAL CHOICE
3473388OtherAETNA
P00128279OtherMEDICARE RAILROAD
209082OtherCOVENTRY HMO AND PPO
065172OtherAMERIHEALTH BLAIR MILL
2149419000OtherKEYSTONE EAST AND 65 ONLY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jamiealtman@directaddress.net

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
I20040504000860 PA Practitioner - Dermatology 8426046871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Temple University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aesthetic Dermatology Associates PCGroup PAC ID 2466438148, 11 clinicians

Practice addresses (Care Compare)

176 S New Middletown Rd
Suite 203
Media, PA 19063-5255
Phone (610) 566-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.23 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
71.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision34
Removal of skin lesions2811
Removal or shaving of skin growth60
Skin biopsy569

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD421271PAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Dermatology Associates, PC Dermatology CurrentSince Apr 1, 2004 Accepting new patients
Aesthetic Dermatology Associates, PC Dermatology CurrentSince Nov 26, 2023 Accepting new patients

Locations

1078 W Baltimore Pike
Ste 204
Media, PA 19063
Phone (610) 565-6707

1088 W Baltimore Pike
Ste 2506
Media, PA 19063
Phone (484) 227-8175

176 S New Middletown Rd
Ste 203
Media, PA 19063
Phone (610) 566-7300

4 Industrial Blvd
Ste 200
Paoli, PA 19301
Phone (610) 644-3166

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1932139342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 S NEW MIDDLETOWN RD STE 203",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635255",
            "telephone_number": "610-566-7300",
            "fax_number": "610-891-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 S NEW MIDDLETOWN RD STE 203",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "19063",
            "telephone_number": "610-566-7300",
            "fax_number": "610-891-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTMAN",
        "first_name": "JAMIE",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD421271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "2149419000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001465172",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1465172",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2149419000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "001465172",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "001465172",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3473388",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00128279",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HMO AND PPO",
            "identifier": "209082",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH BLAIR MILL",
            "identifier": "065172",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE EAST AND 65 ONLY",
            "identifier": "2149419000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamiealtman@directaddress.net",
            "affiliation": "N",
            "address_1": "176 S New Middletown Rd Ste 203",
            "city": "Media",
            "state": "PA",
            "country_code": "US",
            "postal_code": "19063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.