ANNA R DOUBENI (MD) – Family Medicine Physician, NPI 1073596979
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,100 FAMILY PRACTICE in PA
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Provider Addresses for ANNA R DOUBENI (MD)
Penn Medicine, 3737, Market Street, Powelton Village, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States
9TH FLOOR
PHILADELPHIA, PA 191045545
Phone: (215) 662-8777
Type: Mailing
700 ACKERMAN RD STE 2120
COLUMBUS, OH 432021559
Phone: (614) 688-6490
Fax: (614) 688-6491
Type: Mailing
543 TAYLOR AVE
COLUMBUS, OH 432031278
Phone: (614) 688-6490
Fax: (614) 688-6491
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-10-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121003000327 | I | Family Practice | PA | TBD |
| I20221013001404 | I | Family Practice | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 43 | 32 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 18 | 16 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 12 | 12 | $0 |
| G0008 | Administration of influenza virus vaccine | 12 | 12 | $0 |
Insurance plans in this area (ZIP 19104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| Pediatric Medicine, Internal Medicine | OH | |
| Physician Assistant | OH | |
| Internal Medicine | OH | |
| Internal Medicine | OH |
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