ALFRED W IMBODY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1215057914
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,245 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in PA
Provider Addresses for ALFRED W IMBODY (CRNA)
2301 S BROAD ST
1ST FLOOR
PHILADELPHIA, PA 191483542
Phone: (215) 952-9323
Mailing address matches the actual address.
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: 2025-08-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 12 Medicare enrollment records; no due dates published yet.
Enrollment records
12
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 |
|---|---|---|---|---|
| I20090518000356 | I | Certified Registered Nurse Anesthetist (Crna) | PA | TBD |
| I20201005001476 | I | Certified Registered Nurse Anesthetist (Crna) | FL | TBD |
| I20201203000247 | I | Certified Registered Nurse Anesthetist (Crna) | NJ | TBD |
| I20210406000885 | I | Certified Registered Nurse Anesthetist (Crna) | MO | TBD |
| I20220727003991 | I | Certified Registered Nurse Anesthetist (Crna) | OH | TBD |
| I20230105000321 | I | Certified Registered Nurse Anesthetist (Crna) | TX | TBD |
| I20230803001729 | I | Certified Registered Nurse Anesthetist (Crna) | KY | TBD |
| I20230810000529 | I | Certified Registered Nurse Anesthetist (Crna) | NH | TBD |
| I20231114002013 | I | Certified Registered Nurse Anesthetist (Crna) | AR | TBD |
| I20240826001168 | I | Certified Registered Nurse Anesthetist (Crna) | MI | TBD |
| I20250322000058 | I | Certified Registered Nurse Anesthetist (Crna) | WV | TBD |
| I20250807001294 | I | Certified Registered Nurse Anesthetist (Crna) | CO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19148)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | KS | |
| A N E S T H E S I O L O G Y | KS | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | KS | |
| A N E S T H E S I O L O G Y | KY | |
| A N E S T H E S I O L O G Y | IL | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Critical Care (Intensivists), Peripheral Vascular Disease, Anesthesiology | CA |
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