Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ida Micaily, MD

Individual provider Internal Medicine Physician · NPI 1871941682

Ida Micaily, MD is an Internal Medicine in Philadelphia, Pennsylvania. Qualified in 2016, 10 years ago. Practices with Jefferson University Physicians, a 1,554-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
10
Licensed in
PA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

925 Chestnut St Fl 3
Philadelphia, PA 19107-4216
Phone: (215) 955-8874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence MD468727 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MT211696 (PA)

Record details

NPI number1871941682
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2016
Last updated in NPPESMarch 9, 2023
Certification dateOctober 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Jefferson University Physicians — 1554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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