Patrick Pellecchia, MD
Individual provider Active NPI Vascular Surgery Physician · Meaddowbrook, PA
NPI 1124011564 · NPPES record last updated Jul 22, 2010
Key facts
- NPI
- 1124011564
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- MD018379E (PA)
- Practice address
- 1650 Huntingdon Pike
Suite 350
Meaddowbrook, PA 19046 - Phone
- (215) 947-9272
- Fax
- (215) 947-6487
- NPI assigned
- Aug 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Vascular Surgery
- Education
- Temple University School of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1533 Old Welsh Rd
Huntingdon Valley, PA 19006-5833
Phone (215) 947-9272
Hospital & facility affiliations
- Holy Redeemer Home Care-PA
- Holy Redeemer Hospital and Medical Center
- Temple University Hospital
- Hospital of Univ of Pennsylvania
- Thomas Jefferson University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1803 |
| Removal of skin lesions | 20 |
| Skin biopsy | 15 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101220000292 | PA | Practitioner - Vascular Surgery |
5890983787 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD018379E | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patrick Pellecchia | Current |
Accepting new patients |
Locations
1650 Huntingdon Pike
Ste 350
Meadowbrook, PA 19046
Phone (215) 885-4700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD018379E | PA | |
| Vascular Surgery Physician | 2086S0129X | MD018379E | PA | Yes |
Addresses
Primary practice location
1650 Huntingdon Pike
Suite 350
Meaddowbrook, PA 19046
Mailing address
1650 Huntingdon Pike
Suite 350
Meaddowbrook, PA 19046
Phone (215) 947-9272
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001671780001 | Medicaid | PA | |
| 0016178002 | Medicaid | PA |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.