Individual provider Active NPI

Delane E. Casiano, MD

  • Psychiatry Physician
  • Erdenheim, PA
National Provider Identifier
1285790048
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD428639 Issued in PA
Practice address
1016 Bethlehem Pike
Erdenheim, PA 19038-7703
Phone
(267) 769-0597
NPI assigned
Dec 28, 2006
Last updated
Nov 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MT181943 PA
Psychiatry Physician 2084P0800X MD428639 PA Primary

Addresses

Primary practice location

1016 Bethlehem Pike
Erdenheim, PA 19038-7703

Mailing address

1016 Bethlehem Pike
Erdenheim, PA 19038-7703
Phone (267) 769-0597

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
I20071214000022 PA Practitioner - Psychiatry 7214027218 Reassigns benefits to 2 organizations
Practice locations: Erdenheim, PA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Morehouse School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

680 American Ave
Suite 302
King of Prussia, PA 19406-4023
Phone (833) 351-8255

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD428639PAMDPsychiatry Physician
MT181943PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intercommunity Action, Inc CurrentSince Oct 22, 2016 Accepting new patients

Locations

403 Rector St
Philadelphia, PA 19128
Phone (215) 487-1750

6122 Ridge Ave
Philadelphia, PA 19128
Phone (215) 508-6700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1285790048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 BETHLEHEM PIKE",
            "city": "ERDENHEIM",
            "state": "PA",
            "postal_code": "190387703",
            "telephone_number": "267-769-0597",
            "fax_number": "267-769-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 BETHLEHEM PIKE",
            "city": "ERDENHEIM",
            "state": "PA",
            "postal_code": "190387703",
            "telephone_number": "267-769-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASIANO",
        "first_name": "DELANE",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MT181943",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD428639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erdenheim, PA

Sources for this page

Verify at the official NPI Registry.