Individual provider Active NPI

Allen H Bar, MD

  • Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1972501856
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD010352E Issued in PA
Practice address
301 S 8TH St
Suite 4a
Philadelphia, PA 19106-4000
Phone
(215) 829-8455
Fax
(215) 829-8454
NPI assigned
Jul 13, 2005
Last updated
Feb 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD010352E PA
Surgery Physician 208600000X MD010352E PA Primary

Addresses

Primary practice location

301 S 8TH St
Suite 4a
Philadelphia, PA 19106-4000

Mailing address

301 S 8TH St
Suite 4a
Philadelphia, PA 19106-4000
Phone (215) 829-8455

Other identifiers 1

IdentifierTypeStateIssuer
000778010-00003MedicaidPA

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
I20040209000003 PA Practitioner - General Surgery 1951294834 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD010352EPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Surgery CurrentSince May 1, 2015 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
Pennsylvania Surgical Associates, P.C. Specialist Past Accepting new patients

Locations

301 S 8th St
Ste 4A
Philadelphia, PA 19106
Phone (215) 829-3049

3400 Spruce St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-2050

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

800 Walnut St
Fl 20
William Penn Annex West, PA 19107
Phone (215) 829-2092

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Pennsylvania Hospital of the University of Pennsylvania Health SysPhiladelphia, PA, CCN 390226 Hospital Corporate Director Jun 11, 2008
The Pennsylvania Hospital of the University of Pennsylvania Health SysPhiladelphia, PA, CCN 39S226 Hospital Corporate Director Jun 11, 2008

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1972501856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S 8TH ST",
            "address_2": "SUITE 4A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064000",
            "telephone_number": "215-829-8455",
            "fax_number": "215-829-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 8TH ST",
            "address_2": "SUITE 4A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064000",
            "telephone_number": "215-829-8455",
            "fax_number": "215-829-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAR",
        "first_name": "ALLEN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD010352E",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD010352E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000778010-00003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.