Active NPI
Michael Anthony Dellavecchia, MD, PHD, FACS
- Ophthalmology Physician
- Bryn Mawr, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD020408E
- Practice address
- 875 County Line Rd
Bryn Mawr Med BLDG North Suite 204
Bryn Mawr, PA 19010-3143 - Phone
- (610) 527-3406
- Fax
- (610) 527-3406
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD020408E | PA | Primary |
Addresses
Primary practice location
875 County Line Rd
Bryn Mawr Med BLDG North Suite 204
Bryn Mawr, PA 19010-3143
Mailing address
846 Farragut Rd
Berwyn, PA 19312-2005
Phone (610) 640-1578
Other practice location 1
840 Walnut St Ste 1240
Philadelphia, PA 19107-5109
Phone (215) 928-3138
Other practice location 2
9880 Bustleton Ave Ste 313
Philadelphia, PA 19115-2144
Phone (215) 677-9762
Other practice location 3
1330 Powell St Ste 502
Norristown, PA 19401-3353
Phone (610) 272-6888
Other practice location 4
500 York Rd Ste 102
Jenkintown, PA 19046-2871
Phone (215) 885-6830
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Temple University School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Church Rd
Ardmore, PA 19003-2316
Phone (610) 649-7616
500 Old York Rd
Jenkintown, PA 19046-2852
500 York Rd
Suite 102
Jenkintown, PA 19046-2890
913 Walnut St
FL 2
Philadelphia, PA 19107-5190
Phone (215) 627-1515
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.24 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 44.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD020408E | PA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Ophthalmic Associates | Ophthalmology | Current | Accepting new patients |
| Northern Ophthalmic Associates | Ophthalmology | Current | Accepting new patients |
| Accuvision Eye MD Caregroup, PC | Ophthalmology | Current | Accepting new patients |
| David S C Pao MD PC | Ophthalmology | Past | Accepting new patients |
Locations
225 Sunset Rd
Willingboro, NJ 08046
Phone (609) 877-2800
100 Church Rd
Ste 100
Ardmore, PA 19003
Phone (610) 649-7616
1330 Powell St
Ste 502
Norristown, PA 19401
Phone (610) 272-6888
840 Walnut St
Ste 1240
Philadelphia, PA 19107
Phone (215) 836-1290
9880 Bustleton Ave
Ste 313
Philadelphia, PA 19115
Phone (215) 677-9762
913 Walnut St
Fl 2
Philadelphia, PA 19107
Phone (215) 627-1515
500 York Rd
Ste 102
Rydal, PA 19046
Phone (215) 885-6830
Interoperability endpoints
- michael.dellavecchiamd.p1@direct.cdestefano.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Ardmore, PA
- NPI 1801863915
-
- Ophthalmology Physician
- Jenkintown, PA
- NPI 1780653600
-
- Durable Medical Equipment & Medical Supplies
- Philadelphia, PA
- NPI 1255929725
Ophthalmology
-
- Ophthalmology Physician
- Levittown, PA
- NPI 1235299793
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1437172277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "846 FARRAGUT RD",
"city": "BERWYN",
"state": "PA",
"postal_code": "193122005",
"telephone_number": "610-640-1578",
"fax_number": "610-640-1578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 COUNTY LINE RD",
"address_2": "BRYN MAWR MED BLDG NORTH SUITE 204",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103143",
"telephone_number": "610-527-3406",
"fax_number": "610-527-3406"
}
],
"practiceLocations": [
{
"address_1": "840 Walnut St Ste 1240",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191075109",
"country_code": "US",
"telephone_number": "215-928-3138",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9880 Bustleton Ave Ste 313",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191152144",
"country_code": "US",
"telephone_number": "215-677-9762",
"fax_number": "215-677-6790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1330 Powell St Ste 502",
"address_purpose": "LOCATION",
"city": "Norristown",
"state": "PA",
"postal_code": "194013353",
"country_code": "US",
"telephone_number": "610-272-6888",
"fax_number": "610-272-6909",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 York Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Jenkintown",
"state": "PA",
"postal_code": "190462871",
"country_code": "US",
"telephone_number": "215-885-6830",
"fax_number": "215-885-2433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELLAVECCHIA",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"name_prefix": "Prof.",
"credential": "MD, PHD, FACS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD020408E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.