Individual provider Active NPI

Luciano A Dimarco, DO

  • Surgery Physician
  • Harrisburg, PA
National Provider Identifier
1073502126
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS006969L Issued in PA
Practice address
875 S Arlington Ave
Harrisburg, PA 17109-5004
Phone
(717) 652-1107
Fax
(717) 652-1142
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OS006969L PA Primary

Addresses

Primary practice location

875 S Arlington Ave
Harrisburg, PA 17109-5004

Mailing address

875 S Arlington Ave
Harrisburg, PA 17109-5004
Phone (717) 652-1107

Other practice location 1

4315 Londonderry Rd
Harrisburg, PA 17109-5318
Phone (717) 909-0290

Other practice location 2

1600 6th Ave Ste 115
York, PA 17403-2627
Phone (717) 849-2804

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ldimarco20793@phsdirect.pinnaclehealth.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140224001162 PA Practitioner - General Surgery 2567441967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
OS006969LPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Dec 1, 2021 Accepting new patients
Pinnacle Health Medical Services CurrentSince Dec 1, 2021 Accepting new patients
Pinnacle Health Medical Services Surgery Current Accepting new patients
Pennsylvania Surgical Providers PC Surgery Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4315 Londonderry Rd
Harrisburg, PA 17109
Phone (717) 909-0290

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

875 S Arlington Ave
Harrisburg, PA 17109
Phone (717) 652-1107

1600 6th Ave
Ste 115
York, PA 17403
Phone (717) 755-1244

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1073502126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 S ARLINGTON AVE",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095004",
            "telephone_number": "717-652-1107",
            "fax_number": "717-652-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S ARLINGTON AVE",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095004",
            "telephone_number": "717-652-1107",
            "fax_number": "717-652-1142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4315 Londonderry Rd",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171095318",
            "country_code": "US",
            "telephone_number": "717-909-0290",
            "fax_number": "717-909-0292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 6th Ave Ste 115",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174032627",
            "country_code": "US",
            "telephone_number": "717-849-2804",
            "fax_number": "717-850-4141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMARCO",
        "first_name": "LUCIANO",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "OS006969L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldimarco20793@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "875 S Arlington Ave",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171095004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.