NPIMap

Individual provider Active NPI

Michael G Dobrowolski, DO

  • Orthopaedic Surgery Physician
  • Camp Hill, PA
National Provider Identifier
1457701492
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS021880 Issued in PA
Practice address
3399 Trindle Rd
Camp Hill, PA 17011-4407
Phone
(717) 761-5530
Fax
(717) 737-7197
NPI assigned
Jun 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OT016891 PA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X OS021880 PA
Orthopaedic Surgery Physician 207X00000X OS021880 PA Primary

Addresses

Primary practice location

3399 Trindle Rd
Camp Hill, PA 17011-4407

Mailing address

3399 Trindle Rd
Camp Hill, PA 17011-4407
Phone (717) 761-5530

Other practice location 1

250 Alexander Spring Rd
Carlisle, PA 17015-6956
Phone (717) 761-5530

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdobrowolski@oip.medentdirect.com

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
I20220330001459 PA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 7315333499 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Orthopedic Surgeons LTDGroup PAC ID 4385535244, 92 clinicians

Practice addresses (Care Compare)

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

3399 Trindle Rd
Camp Hill, PA 17011-4407
Phone (717) 761-5530

Hospital & facility affiliations

  • Upmc Carlisle Hospital, Carlisle, PA, CCN 390058
  • Penn State Health Holy Spirit Medical Center Hospital, Camp Hill, PA, CCN 390004
  • Upmc Memorial Hospital, York, PA, CCN 390101
  • Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151
  • Penn State Health Hampden Medical Center Hospital, Enola, PA, CCN 390336

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)12
Upper limb (arm) arthroscopy (minimally invasive joint repair)31
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT016891PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Current Accepting new patients
Orthopedic Surgeons LTD Orthopaedic Surgery CurrentSince Mar 1, 2022 Accepting new patients
Orthopedic Surgeons LTD Orthopaedic Surgery Current Accepting new patients
Orthopedic Surgeons LTD Orthopaedic Surgery CurrentSince Mar 1, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 10, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 10, 2022 Accepting new patients

Locations

3399 Trindle Rd
Camp Hill, PA 17011
Phone (717) 901-4236

250 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 837-5481

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

450 Powers Ave
Lower Paxton, PA 17109
Phone (717) 615-1409

1703 Innovation Dr
York, PA 17408
Phone (717) 741-3449

Organizations & group practices 6

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.

Hospital & facility affiliations 11

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1457701492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 TRINDLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114407",
            "telephone_number": "717-761-5530",
            "fax_number": "717-737-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 TRINDLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114407",
            "telephone_number": "717-761-5530",
            "fax_number": "717-737-7197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Alexander Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170156956",
            "country_code": "US",
            "telephone_number": "717-761-5530",
            "fax_number": "717-737-7197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOBROWOLSKI",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OT016891",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PA",
            "license": "OS021880",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OS021880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdobrowolski@oip.medentdirect.com",
            "affiliation": "N",
            "address_1": "3399 Trindle Rd",
            "city": "Camp Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170114407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.