Individual provider Active NPI

Peter P Giammanco, DO

  • Family Medicine Physician
  • Elkins Park, PA
National Provider Identifier
1275691982
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS003475L Issued in PA
Practice address
8380 Old York Rd Ste 100
Elkins Park, PA 19027-1574
Phone
(215) 517-5000
Fax
(215) 517-5829
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS003475L PA Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X OS003475L PA

Addresses

Primary practice location

8380 Old York Rd Ste 100
Elkins Park, PA 19027-1574

Mailing address

PO Box 820933
Philadelphia, PA 19182-0933
Phone (215) 884-7620

Other identifiers 12

IdentifierTypeStateIssuer
0047023OtherPAAETNA HMO
0047254000OtherPAINDEPENDENCE BLUE CROSS
P00416091OtherPARR MEDICARE
483429OtherPACOVENTRY HEALTH AMERICA
1702OtherPABRAVO HEALTH
1162861OtherPACIGNA
126654OtherPAHIGHMARK BLUE SHIELD
597586OtherPAMEDICARE GROUP
000756102MedicaidPA
30037433OtherPAKEYSTONE MERCY
4676005OtherPAAETNA PPO
CD4829OtherPARR MEDICARE GROUP

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
I20070413000279 PA Practitioner - Family PracticePractitioner - Geriatric Medicine 6103921531 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Physicians Inc Family Medicine Current Accepting new patients
Temple Physician Inc. CurrentSince Mar 9, 1995 Accepting new patients
Temple Physicians Inc CurrentSince Mar 9, 1995 Accepting new patients
Temple Physicians Inc Family Medicine Past Accepting new patients
Temple Physicians Inc. Past Accepting new patients
Temple Physicians Inc Family Medicine Past Accepting new patients
Temple Physicians Inc Family Medicine Past Accepting new patients

Locations

8380 Old York Rd
Ste 100
Elkins Park, PA 19027
Phone (215) 517-5000

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

314 York Rd
Jenkintown, PA 19046
Phone (215) 884-7620

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1275691982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820933",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191820933",
            "telephone_number": "215-884-7620",
            "fax_number": "215-884-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 OLD YORK RD STE 100",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271574",
            "telephone_number": "215-517-5000",
            "fax_number": "215-517-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIAMMANCO",
        "first_name": "PETER",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS003475L",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "OS003475L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0047023",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0047254000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00416091",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH AMERICA",
            "identifier": "483429",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAVO HEALTH",
            "identifier": "1702",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1162861",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "126654",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "597586",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000756102",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30037433",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4676005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CD4829",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

Verify at the official NPI Registry.