Active NPI
Amy Althoff, M.D.
- Infectious Disease Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MD449451
- Practice address
- 1427 Vine St
2ND Floor
Philadelphia, PA 19102-1031 - Phone
- (215) 762-2530
- Fax
- (215) 762-2531
- NPI assigned
- Jun 11, 2007
- Last updated
- Aug 31, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | MD449451 | PA | Primary |
| Internal Medicine Physician | 207R00000X | MD449451 | PA |
Addresses
Primary practice location
1427 Vine St
2ND Floor
Philadelphia, PA 19102-1031
Mailing address
1601 Cherry St
Suite 11511
Philadelphia, PA 19102-1320
Phone (215) 255-7822
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD449451 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drexel University | Current | Accepting new patients | |
| Drexel University | Internal Medicine | Current | Accepting new patients |
| Drexel University | Current | Accepting new patients | |
| Drexel University | Infectious Disease | Past | Accepting new patients |
Locations
136 Diamond St
#C
Philadelphia, PA 19122
Phone (215) 426-8100
1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530
1427 Vine St
Fl 5
Philadelphia, PA 19102
Phone (215) 762-2530
1427 Vine St
Fl 8
Philadelphia, PA 19102
Phone (215) 762-6660
1601 Cherry St
Ste 11511
Philadelphia, PA 19102
219 N Broad St
Fl 5
Philadelphia, PA 19107
Phone (215) 762-6070
Interoperability endpoints
- aalthoff18838@drexel.gardenplot.direct-ci.com
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.
-
dba Drexel ID Partnership Clinic
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1538279732
-
dba Drexel ID Partnership Clinic SPEC
- Infectious Disease Physician
- Philadelphia, PA
- NPI 1154590933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472601600000",
"number": "1972707446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CHERRY ST",
"address_2": "SUITE 11511",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021320",
"telephone_number": "215-255-7822",
"fax_number": "215-255-7825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1427 VINE ST",
"address_2": "2ND FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021031",
"telephone_number": "215-762-2530",
"fax_number": "215-762-2531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTHOFF",
"first_name": "AMY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-11",
"last_updated": "2016-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "PA",
"license": "MD449451",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD449451",
"primary": false
}
],
"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 Aug 31, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.