Individual provider Active NPI

Nicholas A Deantonio, DO

  • Anesthesiology Physician
  • Mechanicsburg, PA
National Provider Identifier
1184670515
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS012624 Issued in PA
Practice address
4999 Louise Dr
Suite 105
Mechanicsburg, PA 17055-6907
Phone
(717) 766-1127
Fax
(717) 766-5518
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OS012624 PA Primary

Addresses

Primary practice location

4999 Louise Dr
Suite 105
Mechanicsburg, PA 17055-6907

Mailing address

4999 Louise Dr
Suite 105
Mechanicsburg, PA 17055-6907
Phone (717) 766-1127

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
I20060613000310 PA Practitioner - Anesthesiology 3274545207 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Philadelphia College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Pinnacle Anesthesia Services LLCGroup PAC ID 1951662980, 252 clinicians
North American Partners in Anesthesia, Pennsylvania , LLCGroup PAC ID 7517960834, 302 clinicians

Practice addresses (Care Compare)

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 782-3282

1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
Phone (717) 782-3282

206 E Brown St
East Stoudsburg, PA 18301-3006
Phone (570) 421-4000

409 S 2ND St
Harrisburg, PA 17104-1612

4300 Londonderry Rd
Harrisburg, PA 17109-5317
Phone (717) 782-3282

Hospital & facility affiliations

  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS012624PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Anesthesia Associates, LTD Anesthesiology CurrentSince Jul 25, 2006 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC Anesthesiology CurrentSince Aug 18, 2025 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC CurrentSince Aug 18, 2025 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Anesthesiology CurrentSince Apr 26, 2023 Accepting new patients

Locations

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

1 Rutherford Rd
Ste 101
Harrisburg, PA 17109
Phone (717) 545-5256

4310 Londonderry Rd
Ste 1
Harrisburg, PA 17109
Phone (717) 561-4242

250 College Ave
Lancaster, PA 17603
Phone (717) 291-8211

170 N Pointe Blvd
Lancaster, PA 17601

4100 Linglestown Rd
Linglestown, PA 17112
Phone (717) 657-2020

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

2015 Technology Pkwy
Mechanicsburg, PA 17050
Phone (717) 791-2474

200 Cumberland Pkwy
Mechanicsburg, PA 17055
Phone (717) 591-6020

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1184670515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4999 LOUISE DR",
            "address_2": "SUITE 105",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556907",
            "telephone_number": "717-766-1127",
            "fax_number": "717-766-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4999 LOUISE DR",
            "address_2": "SUITE 105",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556907",
            "telephone_number": "717-766-1127",
            "fax_number": "717-766-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANTONIO",
        "first_name": "NICHOLAS",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OS012624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.