Individual provider Active NPI

Amy Althoff, M.D.

  • Infectious Disease Physician
  • Philadelphia, PA
National Provider Identifier
1972707446
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD449451 Issued in PA
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131028001123 PA Practitioner - Infectious DiseasePractitioner - Internal Medicine 2062647118 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD449451PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Drexel University CurrentSince Jul 1, 2014 Accepting new patients
Drexel University Internal Medicine CurrentSince Jul 1, 2014 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.