Individual provider Active NPI

David W Low, MD

  • Plastic Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1982630661
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD026702E Issued in PA
Practice address
3400 Civic Center Blvd
1St Floor East Pavilion
Philadelphia, PA 19104-4206
Phone
(215) 662-2040
NPI assigned
Jun 24, 2006
Last updated
Jul 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD026702E PA Primary

Addresses

Primary practice location

3400 Civic Center Blvd
1St Floor East Pavilion
Philadelphia, PA 19104-4206

Mailing address

3400 Civic Center Blvd
1St Floor East Pavilion
Philadelphia, PA 19104
Phone (215) 662-2040

Other identifiers 1

IdentifierTypeStateIssuer
0011779370003MedicaidPA

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
I20070122000339 PA Practitioner - Physical Medicine and Rehabilitation 1153322938 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Surgical Associates, LTD CurrentSince Oct 3, 2022 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Children's Surgical Associates LTD Plastic Surgery Current Accepting new patients
University of Penn-Medical Group CurrentSince Apr 3, 2015 Accepting new patients
University of Penn-Medical Group CurrentSince Apr 3, 2015 Accepting new patients
Children's Surgical Associates LTD Past Accepting new patients
Children's Surgical Associates LTD Plastic Surgery Past Accepting new patients
Children's Surgical Associates LTD Past Accepting new patients

Locations

3400 Civic Center Blvd
Fl 1E
Philadelphia, PA 19104
Phone (215) 615-5252

3400 Spruce St
#10
Philadelphia, PA 19104
Phone (215) 662-2040

3400 Spruce St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-2428

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

3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040

3401 Civic Center Blvd
Ste 34
Philadelphia, PA 19104

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

Organizations & group practices 8

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1982630661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "address_2": "1ST FLOOR EAST PAVILION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-662-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "address_2": "1ST FLOOR EAST PAVILION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-662-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOW",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD026702E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011779370003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.