Robert P. Denitzio, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD074447 Issued in PA

Practice address

1020 Baltimore Pike Ste 100
Glen Mills, PA 19342-1365

Phone

(484) 227-7858

NPI assigned

Nov 10, 2005

Last updated

May 7, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rdenitzi@yourcarecommunity.org

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.

• West Grove Clinic Company LLC

  dba Cardiology West Grove Tower Health Medical Group

  • Family Medicine Physician
  • West Grove, PA
  • NPI 1790856078
  Medicare reassignment NPD
• Family Medicine Specialists

  • Health Service Clinic/Center
  • West Grove, PA
  • NPI 1699796599
  NPD (past) Authorized official
• West Grove Clinic Company LLC

  dba Telemedicine Jennersville Tower Health Medical Group

  • Neurology Physician
  • West Grove, PA
  • NPI 1093355992
  NPD
• Delaware Medical Group, LLC

  • Internal Medicine Physician
  • Wilmington, DE
  • NPI 1376581363

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1275514770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 BALTIMORE PIKE STE 100",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421365",
            "telephone_number": "484-227-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 BALTIMORE PIKE STE 100",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421365",
            "telephone_number": "484-227-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENITZIO",
        "first_name": "ROBERT",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0006397",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD074447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delaware Hospice, Inc.
• Delaware Valley Anesthesia LLC
• Jason Delcollo, DO
• Jaclyn Marie Dematteis, PA-C
• Lauren Dengler
• Dental Health Solutions ,PC.
• Dental Health Solutions,LLC
• Dental Professionals of Pennsylvania, PC (Dental Care of Concordville)
• Barbara A Dentinger
• Jenny Lucia Depadua, PA

• Family Medicine Physician in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.