Individual provider Active NPI

Joseph M Ardito, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Paoli, PA
National Provider Identifier
1124137369
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
MD024840E Issued in PA
Practice address
15 Industrial Blvd
Suite 102
Paoli, PA 19301-1608
Phone
(610) 296-5600
Fax
(610) 296-3308
NPI assigned
Aug 30, 2006
Last updated
Apr 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD024840E PA
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X MD024840E PA Primary

Addresses

Primary practice location

15 Industrial Blvd
Suite 102
Paoli, PA 19301-1608

Mailing address

994 Old Eagle School Rd
Ste 1017
Wayne, PA 19087-1802
Phone (610) 296-5600

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
I20060224000302 PA Practitioner - Otolaryngology 1052327533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Temple University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle ENT Alliance LLCGroup PAC ID 7416963988, 70 clinicians

Practice addresses (Care Compare)

21 Industrial Blvd
Suite 205
Paoli, PA 19301-1610
Phone (610) 296-5600

Merit-based Incentive Payment System (MIPS)

Final score
79.53 of 100Reported as group
Quality
74.41
Promoting interoperability
65
Improvement activities
40
Cost
86.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD024840EPAMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle ENT Alliance LLC Otolaryngology/Facial Plastic Surgery CurrentSince Apr 1, 2006 Accepting new patients
Devon Orthopaedic Implants LLC CurrentSince Sep 13, 2022 Accepting new patients

Locations

301 W Chester Pike
Ste 101
Havertown, PA 19083
Phone (610) 446-6900

700 American Ave
King of Prussia, PA 19406
Phone (610) 659-3766

15 Industrial Blvd
Ste 102
Paoli, PA 19301
Phone (610) 296-5600

21 Industrial Blvd
Ste 205
Paoli, PA 19301
Phone (610) 296-5600

994 Old Eagle School Rd
Ste 1017
Wayne, PA 19087
Phone (610) 902-6092

Interoperability endpoints

  • Direct secure messaging: joseph.ardito@penta.eclinicaldirectplus.com

Organizations & group practices 3

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1124137369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 OLD EAGLE SCHOOL RD",
            "address_2": "STE 1017",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871802",
            "telephone_number": "610-296-5600",
            "fax_number": "610-296-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 INDUSTRIAL BLVD",
            "address_2": "SUITE 102",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011608",
            "telephone_number": "610-296-5600",
            "fax_number": "610-296-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDITO",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD024840E",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "PA",
            "license": "MD024840E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.