Active NPI
Michael F Ditillo, DO
- Surgical Critical Care Physician
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- OS017021
- Practice address
- 320 E North Ave FL 5
Pittsburgh, PA 15212-4756 - Phone
- (412) 359-6466
- Fax
- (412) 359-8639
- NPI assigned
- Jun 12, 2008
- 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 |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | OS017021 | PA | Primary |
Addresses
Primary practice location
320 E North Ave FL 5
Pittsburgh, PA 15212-4756
Mailing address
320 E North Ave FL 5
Pittsburgh, PA 15212-4756
Phone (412) 359-6466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102911435 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3838 N Campbell Ave
BLDG 1
Tucson, AZ 85719-1454
Phone (520) 694-2873
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.34 of 100
- Quality
- 74.56
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS017021 | PA | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner-University Medical Group | Family Medicine | Current | Accepting new patients |
| Banner-University Medical Group | Current | Accepting new patients |
Locations
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719
3838 N Campbell Ave
Bldg 1
Tucson, AZ 85719
Phone (520) 694-2873
535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1922820935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493596800000",
"number": "1063672194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 E NORTH AVE FL 5",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124756",
"telephone_number": "412-359-6466",
"fax_number": "412-359-8639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 E NORTH AVE FL 5",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124756",
"telephone_number": "412-359-6466",
"fax_number": "412-359-8639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITILLO",
"first_name": "MICHAEL",
"middle_name": "F",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-12",
"last_updated": "2017-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "PA",
"license": "OS017021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102911435",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.