Alyssa Marie Piccillo, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC006672 Issued in PA

Practice address

500 Fairmount Ave FL 1
Philadelphia, PA 19123-2890

Phone

(267) 909-9594

Fax

(267) 367-5559

NPI assigned

Jul 14, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nazareth Hospital Hospital, Philadelphia, PA, CCN 390204
• Lower Bucks Hospital Hospital, Bristol, PA, CCN 390070

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: apiccillo2630802@direct.trinity-health.org

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.

• Pennsylvania Spine to Foot Pain Specialists GP

  • Foot & Ankle Surgery Podiatrist
  • Philadelphia, PA
  • NPI 1972166940
  Medicare reassignment NPD Authorized official

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

• Prime Healthcare Services Lower Bucks LLC

  • General Acute Care Hospital
  • Bristol, PA
  • NPI 1528319621
  Care Compare affiliation

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1235513763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40068",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191060068",
            "telephone_number": "267-909-9594",
            "fax_number": "267-367-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FAIRMOUNT AVE FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191232890",
            "telephone_number": "267-909-9594",
            "fax_number": "267-367-5559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 N Commerce Way",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180178933",
            "country_code": "US",
            "telephone_number": "267-909-9594",
            "fax_number": "267-367-5559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "443 Mill St",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "PA",
            "postal_code": "190074801",
            "country_code": "US",
            "telephone_number": "267-909-9594",
            "fax_number": "267-367-5559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191071511",
            "country_code": "US",
            "telephone_number": "215-568-3510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICCILLO",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2022-06-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Joseph Piasecki, PH.D.
• Barbara Onega Picard, CRNP
• Claire Picard, LPC, ATR-BC
• Kelsea Diane Picarella
• Picas Home Health Care Agency
• Daniel Joseph Piccillo, D.C.
• Pedro Salomao Piccinini, M.D.
• Alexander Piccione
• Joseph C Piccione Jr., D.O.
• David Piccoli, M.D.

• Foot & Ankle Surgery Podiatrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Foot & Ankle Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.