Individual provider Active NPI

Patrick Michael Vannelli, MD

  • Allergy & Immunology Physician
  • Blue Bell, PA
National Provider Identifier
1316079676
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD428062 Issued in PA
Practice address
470 Sentry Pkwy E
Suite 200
Blue Bell, PA 19422-2332
Phone
(610) 825-5800
Fax
(610) 397-0980
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X C1-0007957 DE
Allergy & Immunology Physician 207K00000X 25MA08337000 NJ
Allergy & Immunology Physician 207K00000X MD428062 PA Primary

Addresses

Primary practice location

470 Sentry Pkwy E
Suite 200
Blue Bell, PA 19422-2332

Mailing address

470 Sentry Pkwy E
Suite 200
Blue Bell, PA 19422-2332
Phone (610) 825-5800

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
I20120808000580 PA Practitioner - Allergy/Immunology 6709950389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
State University of New York at Buffalo School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PSF PLLCGroup PAC ID 1557265543, 98 clinicians

Practice addresses (Care Compare)

470 Sentry Pkwy E
200 Family Allergy and Asthma
Blue Bell, PA 19422-2332
Phone (610) 825-5800

Merit-based Incentive Payment System (MIPS)

Final score
84.25 of 100Reported as group
Quality
86.03
Promoting interoperability
86
Improvement activities
40
Cost
73.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0007957DEMDAllergy & Immunology Physician
MD428062PAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PSF PLLC Allergy & Immunology CurrentSince Jan 15, 2022 Accepting new patients
United Physical Therapy, LLC PastSince Dec 11, 1998 Accepting new patients

Locations

470 Sentry Pkwy E
Ste 200
Blue Bell, PA 19422
Phone (610) 825-5800

420 W Elm Ave
Ste 2
Hanover, PA 17331

2 Penn Ctr
Ste 160
Philadelphia, PA 19102
Phone (215) 563-2933

Interoperability endpoints

  • Direct secure messaging: vannelli.patrick.021.0170024@faa.meditab.direct-ci.com

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1316079676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 SENTRY PKWY E",
            "address_2": "SUITE 200",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222332",
            "telephone_number": "610-825-5800",
            "fax_number": "610-397-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 SENTRY PKWY E",
            "address_2": "SUITE 200",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222332",
            "telephone_number": "610-825-5800",
            "fax_number": "610-397-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNELLI",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "DE",
            "license": "C1-0007957",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA08337000",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "PA",
            "license": "MD428062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

Verify at the official NPI Registry.