Active NPI
Mark A Dipillo, M.D.
- Ophthalmology Physician
- Wyomissing, PA
National Provider Identifier
1073583902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 288686
- Practice address
- 2630 Westview Dr
Wyomissing, PA 19610-1130 - Phone
- (610) 376-1981
- Fax
- (610) 376-3153
- NPI assigned
- Jan 24, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD044541E | PA | |
| Ophthalmology Physician | 207W00000X | 288686 | MA | Primary |
| Glaucoma Specialist (Ophthalmology) Physician | 207WX0009X | MD044541E | PA |
Addresses
Primary practice location
2630 Westview Dr
Wyomissing, PA 19610-1130
Mailing address
2630 Westview Dr
Wyomissing, PA 19610-1130
Phone (610) 376-1981
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1415500 | Medicaid | PA | |
| 180026325 | Other | PA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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
- Ophthalmology
- Education
- New York University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
740 Williams St
Pittsfield, MA 01201-7463
Phone (413) 445-4564
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 127 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD044541E | PA | MD | Glaucoma Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkshire Eye Center PC | Ophthalmology | Current | Accepting new patients |
Locations
740 Williams St
Pittsfield, MA 01201
Phone (413) 445-4564
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Pittsfield, MA
- NPI 1992740302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1073583902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 WESTVIEW DR",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196101130",
"telephone_number": "610-376-1981",
"fax_number": "610-376-3153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 WESTVIEW DR",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196101130",
"telephone_number": "610-376-1981",
"fax_number": "610-376-3153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIPILLO",
"first_name": "MARK",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD044541E",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "288686",
"primary": true
},
{
"code": "207WX0009X",
"taxonomy_group": "",
"desc": "Ophthalmology, Glaucoma Specialist",
"state": "PA",
"license": "MD044541E",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1415500",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180026325",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.