Active NPI
Mario M Sangillo, MD
- Pediatrics Physician
- Mechanicsburg, PA
National Provider Identifier
1043202294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD026221E
- Practice address
- 2025 Technology Pkwy
Ste 108
Mechanicsburg, PA 17050-9400 - Phone
- (717) 791-2680
- Fax
- (717) 791-2688
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD026221E | PA | Primary |
Addresses
Primary practice location
2025 Technology Pkwy
Ste 108
Mechanicsburg, PA 17050-9400
Mailing address
36 W Bayberry Drive
Harrisburg, PA 17112
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01464401 | Other | PA | CAIC |
| 0008697970006 | Medicaid | PA | |
| SA054783 | Other | PA | HIGHMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD026221E | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1043202294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 W BAYBERRY DRIVE",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "17112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 TECHNOLOGY PKWY",
"address_2": "STE 108",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170509400",
"telephone_number": "717-791-2680",
"fax_number": "717-791-2688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANGILLO",
"first_name": "MARIO",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD026221E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAIC",
"identifier": "01464401",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008697970006",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "SA054783",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.