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Deactivated NPI 1235106923 Deactivated / Inactive NPI Male Practitioner

Dr. Paul F Engstrom , MD

Specialist • Phila, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Paul Engstrom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 02, 2006
NPI Deactivation Date February 26, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Paul Engstrom, MD was a registered Specialist practicing in Phila, PA. Throughout an active medical career spanning 20 years, Dr. Engstrom provided care at the practice location at 333 COTTMAN AVE until profile deactivation on 2026-02-26.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

333 Cottman Ave
Fox Chase Cancer Center

Phila, PA 191112434

Telephone 2157286900
Fax 2157285336
Associated Practice Facility / Clinic
🏢 Health Services Of Fccc Facility NPI 1790752707

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Phila, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.5 Yrs
State Avg: 35.7 Yrs
Regional Practice Density
10 Specialists

Practicing in Phila, PA (2255 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
147 67 $200.00 $82.84
99213 Established patient office or other outpatient visit, typically 15 minutes
19 17 $130.00 $54.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
16 15 $260.00 $117.27

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License PA MD012255

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Mala Kailasam , MD

Internal Medicine

NPI 1003849779

Doctor of Medicine (M.D.)

Elena Dreyzin , PA-C

Physician Assistant

NPI 1013421361

Physician Assistant (Certified)

Freweini Tesfaledet , PA

Physician Assistant

NPI 1013951888

Physician Assistant

Dr. David Weinberg , MD

Internal Medicine - Gastroenterology

NPI 1023088317

Doctor of Medicine (M.D.)

Nyree Tedesco-Garofano , CRNP

Nurse Practitioner - Family

NPI 1033252663

Certified Registered Nurse Practitioner

NPI 1033275433

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated February 26, 2026

Record deactivated on February 26, 2026

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Updated Business Mailing Address April 09, 2018

Registered at 2450 W HUNTING PARK AVE, PHILADELPHIA, PA 191291302 (Tel: 2157282500)

NPI Profile Active January 13, 2012

NPI status registered as active in NPPES database

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Updated Practice Location January 13, 2012

Registered at 333 COTTMAN AVE, FOX CHASE CANCER CENTER, PHILA, PA 191112434 (Tel: 2157286900)

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Updated Business Mailing Address January 13, 2012

Registered at 333 COTTMAN AVE, PHILADELPHIA, PA 191112434 (Tel: 2157286900)

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Provider Name / Credentials Updated January 13, 2012

Recorded as PAUL ENGSTROM, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2012

Specialist (License #MD012255 in PA)

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Initial NPI Registration & Enumeration March 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235106923
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2006
Last Update: January 13, 2012
Deactivation Date: February 26, 2026

Mailing Address

333 Cottman Ave

Philadelphia, PA 191112434

Phone: 2157286900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.