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

Individual provider Pediatric Cardiology Physician · NPI 1265922694

Jeffrey M Mortenson, MD is a Cardiac Surgery in Philadelphia, Pennsylvania. Graduated from University of Pittsburgh School of Medicine in 2018, 8 years ago. Practices with Stc Pediatrics LLC, a 70-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
8
Trained at
University of Pittsburgh School of Medicine
Licensed in
PA
In the registry since
2018
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

160 E Erie Ave
Philadelphia, PA 19134-1011
Phone: (484) 628-1324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence MD486037 (PA)

Record details

NPI number1265922694
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 10, 2018
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024

Medicare enrollment

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

Medicare specialtyCARDIAC SURGERY
Medical schoolUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Stc Pediatrics Llc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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