Unknown Individual – Hematology & Oncology Physician, NPI 1710092135
Hematology & Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3998, Red Lion Road, Crestmont Farms, Philadelphia, Philadelphia County, Pennsylvania, 19114, United States
SUITE 130
PHILADELPHIA, PA 191141436
Phone: (215) 612-5250
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)
CMS reports 1 Open Payments records for all available years, with a total value of $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2023-06-29 • Largest payer in this snapshot: Pharmacyclics LLC, an AbbVie Company ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pharmacyclics LLC, an AbbVie Company | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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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 19114)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| HEMATOLOGY/ONCOLOGY | PA | 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 244 | 21 |
| HEMATOLOGY/ONCOLOGY | PA | 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 216 | 18 |
Group practice members
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