NAZARETH HOSPITAL – General Acute Care Hospital, NPI 1124023015

NAZARETH HOSPITAL is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in General Acute Care Hospital. The organization holds a License No. 400301 (PA). The NPI Number for NAZARETH HOSPITAL is 1124023015

Main info

Organization
Name
NAZARETH HOSPITAL
NPI
1124023015
Phone
(215) 335-6000
Address
2601 HOLME AVE
Authorized Official
MR. DAVID A. WAJDA CHIEF FINANCIAL OFFICER, VP FINANCE
Enumeration Date
16 June 2005
Last Update Date
2 June 2025

Contacts

Main Contact
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:21State licenses:1Other namesUpdated within 12 months

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Provider Addresses for NAZARETH HOSPITAL

  • Nazareth Hospital, 2601, Holme Avenue, Pennypack Park, Philadelphia, Philadelphia County, Pennsylvania, 19152, United States

    PHILADELPHIA, PA 191522007

    Phone: (215) 335-6000

    Fax: (215) 335-6303

    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: 2008-02-21

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040114000367OClinic/Group PracticePATBD

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.

Verify on CMS Revalidation Lookup Tool

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 19152)

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Reviews

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Frequently asked questions

Can I verify NAZARETH HOSPITAL with an NPI only?
You can start verification with NPI 1124023015 for NAZARETH HOSPITAL, then check state licensing separately.
Is NAZARETH HOSPITAL still practicing?
NAZARETH HOSPITAL is currently listed as active in the public NPI registry.
What is NAZARETH HOSPITAL best known for clinically?
Directory data describes NAZARETH HOSPITAL with General Acute Care Hospital. Clinical services aligned with this taxonomy classification.
What area does NAZARETH HOSPITAL serve?
NAZARETH HOSPITAL's listing highlights Philadelphia, Pennsylvania; more addresses can appear in NPPES.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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