Robert Guido Michelini, DO
Individual provider Active NPI Family Medicine Physician · Lewisberry, PA
NPI 1366435232 · NPPES record last updated Apr 26, 2022
Key facts
- NPI
- 1366435232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS006157L (PA)
- Practice address
- 689 Yorktown Rd
Lewisberry, PA 17339-9258 - Phone
- (717) 932-4050
- Fax
- (717) 932-8072
- NPI assigned
- Aug 25, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Practice Center PC
Practice addresses (Care Compare)
689 Yorktown Rd
Lewisberry, PA 17339-9258
Phone (717) 932-4050
Hospital & facility affiliations
- Residential Home Health of Carlisle, LLC
- Penn State Health Holy Spirit Medical Center
- Upmc Pinnacle Hospitals
- Milton S Hershey Medical Center
- Upmc Memorial
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100512000886 | PA | Practitioner - Family Practice | 9739217738 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice Center, PC | Family Medicine | Current |
Accepting new patients |
| Family Practice Center, PC | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2850 Commerce Dr
Ste 300
Harrisburg, PA 17110
Phone (717) 657-1361
689 Yorktown Rd
Lewisberry, PA 17339
Phone (717) 932-3830
7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123
Interoperability endpoints
- robertmichelinido@fpc.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS006157L | PA | Yes |
Addresses
Primary practice location
689 Yorktown Rd
Lewisberry, PA 17339-9258
Mailing address
7 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-2123
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1030434610002 | Medicaid | PA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | RobertMicheliniDO@fpc.medentdirect.com | Health Information Exchange (HIE) | FAMILY PRACTICE CENTER, PC |
Other providers in Lewisberry, PA
- Loren C Macey
- Douglas J. Martin
- Jennifer McCahan
- John McGurrin Jr.
- Brian Donnal McInroy
- Scott W Michelitch
- Michelle Momose
- Lori Moore
- Richard Moser
- Richard Pershing Moser Jr.
All providers in Lewisberry, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.