Individual provider Active NPI

Albert Denittis, MD

  • Radiation Oncology Physician
  • Wynnewood, PA
National Provider Identifier
1134129349
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD063741L Issued in PA
Practice address
100 E Lancaster Ave
Wynnewood, PA 19096-3450
Phone
(610) 645-2433
NPI assigned
Jul 29, 2005
Last updated
Jan 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD063741L PA Primary

Addresses

Primary practice location

100 E Lancaster Ave
Wynnewood, PA 19096-3450

Mailing address

1020A E Boal Ave
Boalsburg, PA 16827-1509
Phone (814) 237-8627

Other identifiers 1

IdentifierTypeStateIssuer
0019014960001MedicaidPA

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
I20111017000478 PA Practitioner - Radiation Oncology 5799712691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Presidential Blvd
Bala Cynwyd, PA 19004-1017
Phone (610) 632-4100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.14 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
67.15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urologic Consultants of Southeastern Pennsylvania LLP Radiation Oncology Current Accepting new patients
Alliance Physician Services, PC CurrentSince Jan 2, 2024 Accepting new patients
Alliance Physician Services, PC Radiation Oncology CurrentSince Jan 2, 2024 Accepting new patients
Alliance Physician Services, PC Current Accepting new patients

Locations

1 Presidential Blvd
Ste 100
Bala Cynwyd, PA 19004
Phone (610) 632-4100

211 S Gulph Rd
Ste 200
Kng of Prussa, PA 19406
Phone (610) 382-5910

656 E Swedesford Rd
Ste 120
Wayne, PA 19087
Phone (610) 273-5320

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

Interoperability endpoints

  • Direct secure messaging: adenittis@imppllc.direct.varian.com
  • Direct secure messaging: albertdenittis@midlantic.medalliesdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1134129349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020A E BOAL AVE",
            "city": "BOALSBURG",
            "state": "PA",
            "postal_code": "168271509",
            "telephone_number": "814-237-8627",
            "fax_number": "814-238-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-645-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENITTIS",
        "first_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD063741L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019014960001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.