Individual provider Active NPI

Jillian Mattioni, DO

  • Otolaryngology Physician
  • Exton, PA
National Provider Identifier
1477990091
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
OS019989 Issued in PA
Practice address
460 Creamery Way Ste 103
Exton, PA 19341
Phone
(610) 384-8300
Fax
(610) 384-8885
NPI assigned
May 23, 2013
Last updated
Aug 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X OS019989 PA Primary

Addresses

Primary practice location

460 Creamery Way Ste 103
Exton, PA 19341

Mailing address

460 Creamery Way Ste 103
Exton, PA 19341-2533
Phone (610) 384-8300

Other practice location 1

460 Creamery Way Ste 103
Exton, PA 19341
Phone (610) 384-8300

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190826003147 PA Practitioner - Otolaryngology 8527343938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Philadelphia College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle ENT Alliance LLCGroup PAC ID 7416963988, 70 clinicians

Practice addresses (Care Compare)

460 Creamery Way
103 Oakland Corp Center
Exton, PA 19341-2533
Phone (610) 384-8300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.53 of 100Reported as group
Quality
74.41
Promoting interoperability
65
Improvement activities
40
Cost
86.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle ENT Alliance LLC CurrentSince Sep 16, 2019 Accepting new patients

Locations

460 Creamery Way
Ste 103
Exton, PA 19341
Phone (610) 384-8300

301 W Chester Pike
Ste 101
Havertown, PA 19083
Phone (610) 446-6900

994 Old Eagle School Rd
Ste 1017
Wayne, PA 19087
Phone (610) 902-6092

455 Woodview Rd
Ste 210
West Grove, PA 19390
Phone (610) 345-0977

Organizations & group practices 1

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": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1477990091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 CREAMERY WAY STE 103",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412533",
            "telephone_number": "610-384-8300",
            "fax_number": "610-384-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 CREAMERY WAY STE 103",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "19341",
            "telephone_number": "610-384-8300",
            "fax_number": "610-384-8885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Creamery Way Ste 103",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "19341",
            "country_code": "US",
            "telephone_number": "610-384-8300",
            "fax_number": "610-384-8885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTIONI",
        "first_name": "JILLIAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "OS019989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.