NPIMap

Individual provider Active NPI

Nicola Stepanian, D.O.

  • Nephrology Physician
  • Philadelphia, PA
National Provider Identifier
1992018378
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
OS015570 Issued in PA
Practice address
4453 Castor Ave
Ste B
Philadelphia, PA 19124-3846
Phone
(215) 744-2266
Fax
(215) 743-9247
NPI assigned
Jul 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS015570 PA
Nephrology Physician 207RN0300X OS015570 PA Primary

Addresses

Primary practice location

4453 Castor Ave
Ste B
Philadelphia, PA 19124-3846

Mailing address

4453 Castor Ave
Ste B
Philadelphia, PA 19124-3846
Phone (215) 744-2266

Other identifiers 1

IdentifierTypeStateIssuer
037276OtherPAMLHC MEDICARE AA #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120613000308 PA Practitioner - NephrologyPractitioner - Internal Medicine 6002070588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Nephrology Associates PCGroup PAC ID 3779566732, 9 clinicians
Temple Physicians IncGroup PAC ID 2062317233, 154 clinicians

Practice addresses (Care Compare)

4453 Castor Ave
Suite B
Philadelphia, PA 19124-3846
Phone (215) 744-2266

7500 Central Ave
Suite 210
Philadelphia, PA 19111-2432
Phone (215) 214-2973

Hospital & facility affiliations

  • FKC Fox Chase Dialysis facility, Philadelphia, PA, CCN 392853
  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115
  • Temple University Hospital Hospital, Philadelphia, PA, CCN 390027

Merit-based Incentive Payment System (MIPS)

Final score
86.51 of 100Reported as group
Quality
65.57
Promoting interoperability
100
Improvement activities
40
Cost
77.55

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Physicians Inc Internal Medicine Current Accepting new patients
Temple Physicians Inc Nephrology CurrentSince Sep 27, 2017 Accepting new patients

Locations

7500 Central Ave
Ste 210
Philadelphia, PA 19111
Phone (215) 214-2973

Organizations & group practices 3

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1992018378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4453 CASTOR AVE",
            "address_2": "STE B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191243846",
            "telephone_number": "215-744-2266",
            "fax_number": "215-743-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4453 CASTOR AVE",
            "address_2": "STE B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191243846",
            "telephone_number": "215-744-2266",
            "fax_number": "215-743-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPANIAN",
        "first_name": "NICOLA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS015570",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "OS015570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MLHC MEDICARE AA #",
            "identifier": "037276",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.