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

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.

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 (720 clinicians)

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 (group)
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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC Current
since Oct 1, 2017
Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Penn State Health Medical Group, LLC Current
since Oct 1, 2017
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000978479MedicaidPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 2, 2019.

{
    "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

All providers in Willow Street, PA · Family Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.