Individual provider Active NPI

Alla Shpaner, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1972500809
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD067856 Issued in PA
Practice address
2375 Woodward St
Philadelphia, PA 19115-5120
Phone
(215) 676-4947
Fax
(215) 676-8858
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD067856 PA Primary

Addresses

Primary practice location

2375 Woodward St
Philadelphia, PA 19115-5120

Mailing address

2375 Woodward St
Philadelphia, PA 19115-5120
Phone (215) 676-4947

Other identifiers 1

IdentifierTypeStateIssuer
001740475002MedicaidPA

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
I20101112000031 PA Practitioner - Internal Medicine 0042405342 Practice locations: Philadelphia, PA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD067856PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alla Shpaner MD,PC Past Accepting new patients
Avellina Inc. Internal Medicine PastSince May 15, 2012 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972500809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 WOODWARD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191155120",
            "telephone_number": "215-676-4947",
            "fax_number": "215-676-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 WOODWARD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191155120",
            "telephone_number": "215-676-4947",
            "fax_number": "215-676-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHPANER",
        "first_name": "ALLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD067856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001740475002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.