Individual provider Active NPI

Anthony Michael Letizio, D.O.

  • Addiction Medicine (Internal Medicine) Physician
  • Philadelphia, PA
National Provider Identifier
1558538074
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
OS014724 Issued in PA
Practice address
2001 S 18TH St FL 1
Philadelphia, PA 19145-2905
Phone
(814) 806-5206
NPI assigned
May 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS014724 PA
Addiction Medicine (Internal Medicine) Physician 207RA0401X OS014724 PA Primary

Addresses

Primary practice location

2001 S 18TH St FL 1
Philadelphia, PA 19145-2905

Mailing address

1311 S Carlisle St Unit D
Philadelphia, PA 19146-4810
Phone (814) 806-5206

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
I20090923000754 PA Practitioner - Internal MedicinePractitioner - Addiction Medicine 2860562220 Reassigns benefits to 1 organization
Practice locations: Erie, PA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

583 Shoemaker Rd
King of Prussia, PA 19406-4201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness18 Addiction Medicine Current Accepting new patients
Main Line Medical Group LTD CurrentSince Aug 1, 2018 Accepting new patients
New Starts Internal Medicine PastSince Mar 29, 2014 Accepting new patients
Erie Wellness, PC Past Accepting new patients

Locations

857 Montgomery Ave
#2
Penn Valley, PA 19072

857 Montgomery Ave
Penn Valley, PA 19072
Phone (610) 664-2951

2001 S 18th St
Fl 1
Philadelphia, PA 19145
Phone (215) 207-6758

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1558538074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 S CARLISLE ST UNIT D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191464810",
            "telephone_number": "814-806-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S 18TH ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452905",
            "telephone_number": "814-806-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETIZIO",
        "first_name": "ANTHONY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-14",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS014724",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "PA",
            "license": "OS014724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.