Individual provider Active NPI

Lorraine M Disipio, D.O.

  • Family Medicine Physician
  • Darby, PA
National Provider Identifier
1568561702
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS004216L Issued in PA
Practice address
1501 Lansdowne Ave FL 1
Darby, PA 19023-1333
Phone
(610) 534-6310
Fax
(610) 534-6350
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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 OS004216L PA Primary

Addresses

Primary practice location

1501 Lansdowne Ave FL 1
Darby, PA 19023-1333

Mailing address

1501 Lansdowne Ave FL 1
Darby, PA 19023-1333
Phone (610) 534-6310

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lorraine.disipio.1@16196.direct.athenahealth.com Direct Trinity Health Mid-Atlantic Medical Group

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
I20100916000924 PA Practitioner - Family Practice 2365567146 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Mid-Atlantic Medical Group Family Medicine CurrentSince Feb 1, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Feb 1, 2024 Accepting new patients

Locations

1503 Lansdowne Ave
Ste 3001
Darby, PA 19023
Phone (610) 586-4100

1501 Lansdowne Ave
Fl MOB1
Darby, PA 19023
Phone (610) 237-4104

1501 Lansdowne Ave
Fl 1
Darby, PA 19023
Phone (610) 237-2531

1503 Lansdowne Ave
Ste 3003
Darby, PA 19023
Phone (610) 586-4100

41 University Dr
Ste 300
Newtown, PA 18940
Phone (215) 710-7037

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

Interoperability endpoints

  • Direct secure messaging: ldisipio2013139@direct.trinity-health.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1568561702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 LANSDOWNE AVE FL 1",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231333",
            "telephone_number": "610-534-6310",
            "fax_number": "610-534-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LANSDOWNE AVE FL 1",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231333",
            "telephone_number": "610-534-6310",
            "fax_number": "610-534-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISIPIO",
        "first_name": "LORRAINE",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS004216L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lorraine.disipio.1@16196.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "Mercy Management of Southeastern Pennsylvania Direct Email Address",
            "affiliationName": "Trinity Health Mid-Atlantic Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1501 Lansdowne Ave Fl Mob1",
            "city": "Darby",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190231333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Darby, PA

Sources for this page

Verify at the official NPI Registry.