Active NPI
Heidi J Syropoulos, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Philadelphia, PA
National Provider Identifier
1962465674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- MD042138E
- Practice address
- 1010 W Lehigh Ave
Philadelphia, PA 19133-1640 - Phone
- (267) 273-7000
- Fax
- (267) 273-7056
- NPI assigned
- Apr 11, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD042138E | PA | Primary |
Addresses
Primary practice location
1010 W Lehigh Ave
Philadelphia, PA 19133-1640
Mailing address
1010 W Lehigh Ave
Philadelphia, PA 19133-1640
Phone (267) 273-7000
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0114500201 | Other | PA | AMERICHOICE |
| 5754595 | Other | PA | CIGNA |
| 1962465674 | Other | PA | HEALTH PARTNERS |
| 2147449000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 7716393 | Other | PA | AETNA |
| 2147449000 | Other | KEYSTONE | |
| 1462781 | Other | HIGHMARK BS | |
| 04-45816 | Other | EVERCARE | |
| 1462781 | Other | PA | BLUE SHIELD |
| 0011450020004 | Medicaid | PA | |
| 2147449002 | Other | BCBS HIGHMARK KEYSTONE | |
| 17267 | Other | PA | BRAVO ELDER HEALTH |
| 30040715 | Other | PA | KEYSTONE MERCY HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Management of Southeastern Pennsylvania | Past | Accepting new patients |
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.
-
- Land Ambulance
- Darby, PA
- NPI 1053394122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289260800000",
"number": "1962465674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 W LEHIGH AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191331640",
"telephone_number": "267-273-7000",
"fax_number": "267-273-7056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 W LEHIGH AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191331640",
"telephone_number": "267-273-7000",
"fax_number": "267-273-7056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYROPOULOS",
"first_name": "HEIDI",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2010-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "PA",
"license": "MD042138E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "0114500201",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5754595",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "1962465674",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN EAST",
"identifier": "2147449000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7716393",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "2147449000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BS",
"identifier": "1462781",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "04-45816",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1462781",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011450020004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS HIGHMARK KEYSTONE",
"identifier": "2147449002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRAVO ELDER HEALTH",
"identifier": "17267",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY HEALTH PLAN",
"identifier": "30040715",
"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 Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.