John Rodolfo Fontanilla (NPI# 1669688412, PAC ID# 1052599891) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
Nation Provider ID (NPI) | 1669688412 |
PAC ID by PECOS | 1052599891 |
Professional Enrollment ID | I20120802000270 |
Full Name | John Rodolfo Fontanilla |
Organization Legal Name | TEMPLE PHYSICIANS INC |
Address |
7500 Central Ave Suite 210 Philadelphia PA 19111-2432 |
Phone Number | 2152142973 |
Gender | M |
Medical School | UMDNJ-NEW JERSEY MEDICAL SCHOOL |
Graduation Year | 2006 |
Primary Specialty | NEPHROLOGY |
Group Practice PAC ID | 2062317233 |
Number of Group Practice Members | 177 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
390304 | ROXBOROUGH MEMORIAL HOSPITAL |
390115 | ARIA HEALTH |
390080 | JEANES HOSPITAL |
Address | Phone | Organization |
---|---|---|
4453 Castor Ave, Suite B, Philadelphia, PA 19124-3846 | 2157442266 | METROPOLITAN NEPHROLOGY ASSOCIATES PC |
7500 Central Ave, Suite 210, Philadelphia, PA 19111-2432 | 2152142973 | TEMPLE PHYSICIANS INC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_EP_1 | e-Prescribing | 85% | |
ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
ACI_EC_TRANS_PEA_1 | Provide Patient Access | 78% | |
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 100% | |
MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% |
Organization Legal Name | TEMPLE PHYSICIANS INC |
Physicians | 178 |
Name | Specialty | Organization | Address |
---|---|---|---|
Anna Morales-caraballo | Nurse Practitioner | Temple Physicians Inc | 133 W Hunting Park Ave, Philadelphia, PA 19140-2717 |
Naeemah Alston | Family Medicine | Temple Physicians Inc | 6557 Roosevelt Blvd, Philadelphia, PA 19149-2918 |
Joy Palma | Nurse Practitioner | Temple Physicians Inc | 2923 -25 E Thompson St, Tpi Prt Richmnd, Philadelphia, PA 19134-4812 |
Sanjay Upadhyay | Family Medicine | Temple Physicians Inc | 1741 Frankford Ave, 100a, Philadelphia, PA 19125-2445 |
Nausheen Hussain | Family Medicine | Temple Physicians Inc | 8 Huntingdon Pike, Suite 100, Rockledge, PA 19046-4338 |
Anthony Luistro | Family Medicine | Temple Physicians Inc | 1300 W Lehigh Ave A, Philadelphia, PA 19132-2701 |
Mohamed Kadkhoda | Pediatric Medicine | Temple Physicians Inc | 1300 W Lehigh Ave B, Philadelphia, PA 19132-2701 |
Delana Wardlaw | Family Medicine | Temple Physicians Inc | 4350 Germantown Ave, Suite 1, Philadelphia, PA 19140-1749 |
Lawrence Albert | Emergency Medicine | Temple Physicians Inc | 11000 Roosevelt Blvd, Suite 360, Philadelphia, PA 19116-3961 |
Lee A Cowen | Internal Medicine | Temple Physicians Inc | 6410 A Rising Sun Ave, Philadelphia, PA 19111-5229 |
Street Address |
7500 CENTRAL AVE SUITE 210 |
City | PHILADELPHIA |
State | PA |
Zip | 19111-2432 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bong-soo Kim | Neurosurgery | Temple Faculty Practice Plan Inc | 7500 Central Ave, Philadelphia, PA 19111-2430 |
Mark Krakauer | Ophthalmology | Temple Faculty Practice Plan Inc | 7500 Central Ave, Philadelphia, PA 19111-2430 |
Yi Zhang | Ophthalmology | Temple Faculty Practice Plan Inc | 7500 Central Ave, Philadelphia, PA 19111-2430 |
Roh Yanagida | Thoracic Surgery | Temple Faculty Practice Plan Inc | 7500 Central Ave, Philadelphia, PA 19111-2430 |
Charles Bakhos | Thoracic Surgery | Temple Faculty Practice Plan Inc | 7500 Central Ave, Philadelphia, PA 19111-2430 |
Christopher Loftus | Neurosurgery | Temple Faculty Practice Plan Inc | 7500 Central Ave, Philadelphia, PA 19111-2430 |
Doreen Rustam | Nurse Practitioner | Temple Faculty Practice Plan Inc | 7500 Central Ave, Philadelphia, PA 19111-2430 |
Kenji Minakata | Thoracic Surgery | Temple Faculty Practice Plan Inc | 7500 Central Ave, Philadelphia, PA 19111-2430 |
Michael S Fakhraee | Plastic and Reconstructive Surgery | 7500 Central Ave, Suite 101, Philadelphia, PA 19111-2431 | |
Stacey Herbert Brann | Thoracic Surgery | Temple Faculty Practice Plan Inc | 7500 Central Ave, Philadelphia, PA 19111-2430 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Linda A Petti | Psychologist, Clinical | 535 Penny Ln, Philadelphia, PA 19111-1201 | |
Brenda A Buzydlowski | Hospice/palliative Care | Hr Physician Services | 8580 Verree Rd, Philadelphia, PA 19111-1370 |
Arelyne B Pacho | Physical Medicine and Rehabilitation | 8015 Lawndale Ave, Philadelphia, PA 19111-1507 | |
Donna R Farrell | Family Practice | Montgomery County Medical Associates, Ltd. | 8014 Burholme Ave, Philadelphia, PA 19111-1801 |
Catherine E Canty | Chiropractic | 8012 Pine Rd, Fl 1, Philadelphia, PA 19111-1809 | |
Uriel Schechter | Optometry | 7834 Oxford Ave, Philadelphia, PA 19111-2219 | |
Stacy W Lexow | Obstetrics/gynecology | Abington Memorial Hospital | 7996 Oxford Ave, Philadelphia, PA 19111-2241 |
Mary T Greybush | Obstetrics/gynecology | Abington Memorial Hospital | 7996 Oxford Ave, Philadelphia, PA 19111-2241 |
Phyllis M Briggs | Nurse Practitioner | Abington Memorial Hospital | 7996 Oxford Ave, Philadelphia, PA 19111-2241 |
Gengo Sunagawa | Thoracic Surgery | Temple Faculty Practice Plan Inc | 7500 Central Ave, Philadelphia, PA 19111-2430 |
Find all physicians in zip 19111 |
City | PHILADELPHIA |
Zip Code | 19111 |
Specialty | NEPHROLOGY |
City + Specialty | PHILADELPHIA + NEPHROLOGY |
Please comment or provide details below to improve the information on John Rodolfo Fontanilla.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.