Individual provider Active NPI

Louis Joseph Ciliberti Jr., DPM, MS

  • Foot & Ankle Surgery Podiatrist
  • Malvern, PA
National Provider Identifier
1568607802
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006266 Issued in PA
Practice address
266 Lancaster Ave
Suite 200
Malvern, PA 19355-3256
Phone
(610) 644-6900
Fax
(610) 644-7160
NPI assigned
Dec 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006266 PA Primary

Addresses

Primary practice location

266 Lancaster Ave
Suite 200
Malvern, PA 19355-3256

Mailing address

266 Lancaster Ave
Suite 200
Malvern, PA 19355-3256
Phone (610) 644-6900

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110927000609 PA Practitioner - Podiatry 2668643404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2008
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

Practice addresses (Care Compare)

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

2004 Sproul Rd
FL 1
Broomall, PA 19008-3511
Phone (610) 353-0800

300 Springhouse Dr
Collegeville, PA 19426-4021
Phone (610) 489-4745

4 Industrial Blvd
Paoli, PA 19301-1605

491 John Young Way
Suite 210
Exton, PA 19341-2567
Phone (610) 524-7251

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue41
Removal or shaving of skin growth42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Sports Medicine Associates LTD CurrentSince Mar 1, 2013 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates, LTD CurrentSince Mar 1, 2013 Accepting new patients
Orthopedic Sports & Arthritis Surgery Past Accepting new patients

Locations

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

300 Springhouse Dr
Ste 200
Collegeville, PA 19426
Phone (610) 409-2754

491 John Young Way
Ste 200
Exton, PA 19341
Phone (484) 872-8408

491 John Young Way
Ste 210
Exton, PA 19341
Phone (610) 524-7251

266 Lancaster Ave
Ste 200
Malvern, PA 19355
Phone (610) 640-4133

4 Industrial Blvd
Ste 165
Paoli, PA 19301
Phone (610) 359-5640

Interoperability endpoints

  • Direct secure messaging: louis.ciliberti.1@22724.direct.athenahealth.com

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.

Hospital & facility affiliations 6

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": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1568607802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 LANCASTER AVE",
            "address_2": "SUITE 200",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553256",
            "telephone_number": "610-644-6900",
            "fax_number": "610-644-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 LANCASTER AVE",
            "address_2": "SUITE 200",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553256",
            "telephone_number": "610-644-6900",
            "fax_number": "610-644-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CILIBERTI",
        "first_name": "LOUIS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-15",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

Verify at the official NPI Registry.