NPIMap

Individual provider Active NPI

Gina Menichello, D.O.

  • Family Medicine Physician
  • Chalfont, PA
National Provider Identifier
1407016736
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS014574 Issued in PA
Practice address
700 Horizon Dr
Suite 103
Chalfont, PA 18914-3967
Phone
(215) 822-3130
Fax
(215) 822-3134
NPI assigned
Jun 10, 2008
Last updated
Jan 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS014574 PA Primary

Addresses

Primary practice location

700 Horizon Dr
Suite 103
Chalfont, PA 18914-3967

Mailing address

PO Box 1111
Harleysville, PA 19438-0907
Phone (215) 453-4995

Other identifiers 1

IdentifierTypeStateIssuer
102315469MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090805000573 PA Practitioner - Family Practice 6800949074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Grand View HospitalGroup PAC ID 8022001924, 94 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

700 Horizon Dr
Chalfont, PA 18914-3967

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS014574PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grand View Hospital Family Medicine CurrentSince Aug 1, 2009 Accepting new patients
St Luke's Physician Group Inc Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
St Luke's Physician Group Inc Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Grand View Hospital Past Accepting new patients

Locations

700 Horizon Dr
Ste 103
Chalfont, PA 18914
Phone (215) 822-3130

99 N West End Blvd
Ste 106
Quakertown, PA 18951
Phone (215) 538-0202

99 N West End Blvd
Ste 108
Quakertown, PA 18951
Phone (215) 453-3400

700 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-4000

Interoperability endpoints

  • Direct secure messaging: gmenichello350803@direct-sluhn.org

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1407016736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1111",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194380907",
            "telephone_number": "215-453-4995",
            "fax_number": "215-453-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HORIZON DR",
            "address_2": "SUITE 103",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143967",
            "telephone_number": "215-822-3130",
            "fax_number": "215-822-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENICHELLO",
        "first_name": "GINA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS014574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102315469",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalfont, PA

Sources for this page

Verify at the official NPI Registry.