Active NPI
Talia Stark, MD
- Urology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD485591
- Practice address
- 3509 N Broad St
Philadelphia, PA 19140-4105 - Phone
- (215) 707-3375
- Fax
- (215) 707-4758
- NPI assigned
- Apr 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD485591 | PA | Primary |
Addresses
Primary practice location
3509 N Broad St
Philadelphia, PA 19140-4105
Mailing address
3500 N Broad St
Philadelphia, PA 19140-4106
Phone (215) 707-3411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Urology | Current | Accepting new patients |
| Temple Faculty Practice Plan, Inc | Urology | Current | Accepting new patients |
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Past | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients |
Locations
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
11100 Euclid Ave
Cleveland Heights, OH 44106
515 Pennsylvania Ave
Ft Washington, PA 19034
Phone (215) 641-0700
3500 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3656
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
-
dba Temple Faculty Anesthesiology Associates
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
-
dba Temple Faculty Urology Associates
- Urology Physician
- Philadelphia, PA
- NPI 1992288112
-
dba Temple Faculty Multi-Specialty at NJ
- Urology Physician
- Voorhees, NJ
- NPI 1407638794
-
dba Pacific Sports Medicine @ MultiCare
- Nurse Practitioner
- Tacoma, WA
- NPI 1407808413
-
dba Center for Orthopedics
- Orthopaedic Surgery Physician
- Oberlin, OH
- NPI 1982727087
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chardon, OH
- NPI 1669562864
-
dba Uhcmc
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
-
dba University Hospitals Mentor Health Center
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1487770335
Hospital
-
dba University Hospitals Westlake Health Center
- Multi-Specialty Clinic/Center
- Westlake, OH
- NPI 1669598082
Hospital
-
dba UH Case Medical Center
- Clinic/Center
- Cleveland, OH
- NPI 1760673412
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1952965659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191404106",
"telephone_number": "215-707-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3509 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191404105",
"telephone_number": "215-707-3375",
"fax_number": "215-707-4758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "TALIA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-28",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "MD485591",
"primary": true
}
],
"identifiers": [],
"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 Jul 5, 2024; 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.