Robert K Aichele Jr., DO
Individual provider Active NPI Family Medicine Physician · Willow Street, PA
NPI 1366485583 · NPPES record last updated Jul 2, 2019
Key facts
- NPI
- 1366485583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS005287L (PA)
- Practice address
- 2605 Willow Street Pike
Willow Street, PA 17584 - Phone
- (717) 464-2838
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Penn State Health Medical Group LLC
Practice addresses (Care Compare)
2605 Willow St Pike
Penn State Med GRP South Lancaster
Willow Street, PA 17584-9510
Phone (717) 464-2838
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 65.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77
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 |
|---|---|---|---|---|
| I20031219000339 | PA | Practitioner - Family Practice | 9436057148 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penn State Health Medical Group, LLC | Current |
Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current |
Accepting new patients |
Locations
1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141
3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644
250 College Ave
Lancaster, PA 17603
Phone (717) 291-8211
6 W Newport Rd
Lititz, PA 17543
Phone (717) 581-5255
29 Eastbrook Rd
Ronks, PA 17572
Phone (717) 299-5711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS005287L | PA | Yes |
Addresses
Primary practice location
2605 Willow Street Pike
Willow Street, PA 17584
Mailing address
2605 Willow Street Pike
Willow Street, PA 17584
Phone (717) 464-2838
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000978479 | Medicaid | PA |
NPI Registry JSON
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562025600000",
"number": "1366485583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 WILLOW STREET PIKE",
"city": "WILLOW STREET",
"state": "PA",
"postal_code": "17584",
"telephone_number": "717-464-2838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 WILLOW STREET PIKE",
"city": "WILLOW STREET",
"state": "PA",
"postal_code": "17584",
"telephone_number": "717-464-2838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AICHELE",
"first_name": "ROBERT",
"middle_name": "K",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2019-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS005287L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000978479",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willow Street, PA
- A&E Audiology and Hearing Aid Center
- Active Family Chiropractic, LLC
- Oluwaseun Akangbe
- Alvin Hocke Optical Co., Inc.
- Harry J Anderson-Schick
- Mihaela Andrian
- Arthur A Asin
All providers in Willow Street, 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 Jul 2, 2019. 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.