Individual provider

Gerald Wertheim, MD

Clinical Pathology/Laboratory Medicine Physician Hematology (Pathology) Physician Anatomic Pathology & Clinical Pathology Physician Medicare enrolled

Gerald Wertheim, MD is a Clinical Pathology/Laboratory Medicine Physician in Philadelphia, PA, registered under NPI 1235296187. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 3400 SPRUCE STREET 6 FOUNDERS, Philadelphia, PA 19104. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3400 SPRUCE STREET 6 FOUNDERS, Philadelphia, PA 19104 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
MD436931 PA Clinical Pathology/Laboratory Medicine… primary
MD436931 PA Hematology (Pathology) Physician
MD436931 PA Anatomic Pathology & Clinical Pathology…

This provider holds licence MD436931 issued in PA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Pathology
PAC ID
7113154709

Medicare enrolment is recorded as approved under the provider type Practitioner - Pathology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Clinical Pathology/Laboratory Medicine covers

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. NUCC Health Care Provider Taxonomy, code 207ZP0105X
Allopathic & Osteopathic Physicians Pathology Clinical Pathology/Laboratory Medicine

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207ZP0105X Clinical Pathology/Laboratory Medicine Physician Clinical Pathology/Laboratory Medicine MD436931 PA primary
207ZH0000X Hematology (Pathology) Physician Hematology MD436931 PA
207ZP0102X Anatomic Pathology & Clinical Pathology Physician Anatomic Pathology & Clinical Pathology MD436931 PA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1235296187 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 2, 2007
Last updatedOct 24, 2019
StatusActive
Sole proprietorNo
CredentialMD
Practice address 3400 SPRUCE STREET
6 FOUNDERS
Philadelphia, PA 19104
(215) 662-6503
The last update on file is Oct 24, 2019. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1235296187 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 3 5 2 9 6 1 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 6 5 4 9 3 1 7

Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1235296187?
NPI 1235296187 is the National Provider Identifier assigned to Gerald Wertheim, MD in Philadelphia, PA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical Pathology/Laboratory Medicine cover?
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and…
How do I contact Gerald Wertheim, MD?
The phone number on file with NPPES is (215) 662-6503, last updated Oct 24, 2019. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Gerald Wertheim, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1235296187 a valid number?
Yes. 1235296187 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.