NPIMap

Individual provider Active NPI

Denise F Montisano, MD

  • Family Medicine Physician
  • Harrisburg, PA
National Provider Identifier
1033178447
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD051076L Issued in PA
Practice address
805 Sir Thomas CT
2ND Floor
Harrisburg, PA 17109-4839
Phone
(717) 657-3030
Fax
(717) 671-0991
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD051076L PA Primary

Addresses

Primary practice location

805 Sir Thomas CT
2ND Floor
Harrisburg, PA 17109-4839

Mailing address

805 Sir Thomas CT FL 2
Harrisburg, PA 17109-4839
Phone (717) 657-3030

Other identifiers 1

IdentifierTypeStateIssuer
001730497MedicaidPA

Other names 1

  • Denise Fellin Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmontisano7055@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100317000100 PA Practitioner - Family Practice 6800921750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

805 Sir Thomas CT
Harrisburg, PA 17109-4839
Phone (717) 988-0020

Hospital & facility affiliations

  • Residential Home Health of Carlisle, LLC Home health agency, Mechanicsburg, PA, CCN 397047
  • Homeland Homehealth Home health agency, Harrisburg, PA, CCN 398270
  • Homeland Hospice Hospice, Harrisburg, PA, CCN 391714
  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD051076LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Family Medicine CurrentSince Aug 3, 2013 Accepting new patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 3, 2013 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

207 House Ave
Ste 101
Camp Hill, PA 17011
Phone (717) 761-8331

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

4807 Jonestown Rd
Ste 141
Harrisburg, PA 17109
Phone (717) 657-3030

805 Sir Thomas Ct
Ste 1
Harrisburg, PA 17109
Phone (717) 988-0020

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2151 Linglestown Rd
Ste 100
Harrisburg, PA 17110
Phone (717) 545-4786

805 Sir Thomas Ct
Ste 2
Harrisburg, PA 17109
Phone (717) 657-3030

1 Kacey Ct
Ste 101
Mechanicsburg, PA 17055
Phone (717) 591-0961

Interoperability endpoints

  • Direct secure messaging: dmontisano19302@upmc.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1033178447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SIR THOMAS CT FL 2",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094839",
            "telephone_number": "717-657-3030",
            "fax_number": "717-671-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SIR THOMAS CT",
            "address_2": "2ND FLOOR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094839",
            "telephone_number": "717-657-3030",
            "fax_number": "717-671-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTISANO",
        "first_name": "DENISE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD051076L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001730497",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmontisano7055@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "805 Sir Thomas Ct",
            "address_2": "2nd Floor",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171094839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "FELLIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.