NPIMap

Individual provider Active NPI

Marcelino Oliveri, D.O.

  • Orthopaedic Surgery of the Spine Physician
  • Lancaster, PA
National Provider Identifier
1154317105
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
OS006141E Issued in PA
Practice address
231 Granite Run Drive
Lancaster, PA 17601-6823
Phone
(717) 560-4200
Fax
(717) 560-4159
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OS006141E PA
Orthopaedic Surgery of the Spine Physician 207XS0117X OS006141E PA Primary

Addresses

Primary practice location

231 Granite Run Drive
Lancaster, PA 17601-6823

Mailing address

231 Granite Run Dr
Lancaster, PA 17601-6823
Phone (717) 560-4200

Other identifiers 2

IdentifierTypeStateIssuer
OL666110OtherPAMEDICARE-DME
200024841OtherPAMEDICARE-RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100407000096 PA Practitioner - Orthopedic Surgery 5698856938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster Orthopedic Group, Inc.Group PAC ID 1557264678, 76 clinicians

Practice addresses (Care Compare)

231 Granite Run Dr
Lancaster, PA 17601-6823
Phone (717) 560-4200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion37
Laminectomy or laminotomy (partial removal of spine bones)35

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster Orthopedic Group, Inc. Orthopaedic Surgery CurrentSince Sep 26, 2011 Accepting new patients
Log Surgery Center, LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Orthopedic Consultants, LTD. PastSince Oct 7, 2007 Accepting new patients
Lancaster Orthopedic Group, Inc. Orthopaedic Surgery Past Accepting new patients

Locations

175 Martin Ave
Ste 315
Ephrata, PA 17522
Phone (717) 733-9200

207 W Fulton St
Ephrata, PA 17522
Phone (717) 721-8789

231 Granite Run Dr
Lancaster, PA 17601
Phone (717) 560-4200

703 Lampeter Rd
Lancaster, PA 17602
Phone (717) 291-1313

1009 E Main St
Mount Joy, PA 17552
Phone (717) 544-3537

Interoperability endpoints

  • Direct secure messaging: moliveri11202@direct-lghealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1154317105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 GRANITE RUN DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016823",
            "telephone_number": "717-560-4200",
            "fax_number": "717-560-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 GRANITE RUN DRIVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016823",
            "telephone_number": "717-560-4200",
            "fax_number": "717-560-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERI",
        "first_name": "MARCELINO",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OS006141E",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "PA",
            "license": "OS006141E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-DME",
            "identifier": "OL666110",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-RAILROAD",
            "identifier": "200024841",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.