Individual provider Active NPI

Dennis Slochower, M.D.

  • Ophthalmology Physician
  • Philadelphia, PA
National Provider Identifier
1932192259
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD026878E Issued in PA
Practice address
2818 Cottman Ave
Philadelphia, PA 19149-1419
Phone
(215) 331-4141
Fax
(215) 338-0167
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD026878E PA Primary

Addresses

Primary practice location

2818 Cottman Ave
Philadelphia, PA 19149-1419

Mailing address

1263 Club House Rd
Gladwyne, PA 19035-1003
Phone (610) 527-2221

Other identifiers 5

IdentifierTypeStateIssuer
000894575MedicaidPA
0858718OtherPACIGNA INDIVIDUAL ID
0053142000OtherPAIBC INDIVIDUAL ID
3615269OtherPAAETNA INDIVIDUAL ID
P00143978OtherPARR MEDICARE INDIVIDUAL

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
I20040730000419 PA Practitioner - Ophthalmology 0345239547

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Diabetic Management,LTD CurrentSince Apr 1, 2011 Accepting new patients

Locations

9126 Blue Grass Rd
Philadelphia, PA 19114
Phone (215) 330-0050

Organizations & group practices 1

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1932192259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 CLUB HOUSE RD",
            "city": "GLADWYNE",
            "state": "PA",
            "postal_code": "190351003",
            "telephone_number": "610-527-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491419",
            "telephone_number": "215-331-4141",
            "fax_number": "215-338-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOCHOWER",
        "first_name": "DENNIS",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD026878E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000894575",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA INDIVIDUAL ID",
            "identifier": "0858718",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC INDIVIDUAL ID",
            "identifier": "0053142000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INDIVIDUAL ID",
            "identifier": "3615269",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE INDIVIDUAL",
            "identifier": "P00143978",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.