NPIMap

Individual provider Active NPI

Michael F Carnuccio, D.O.

  • Family Medicine Physician
  • Thorndale, PA
National Provider Identifier
1598749012
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS011990 Issued in PA
Practice address
200 Municipal Dr
Thorndale, PA 19372-1016
Phone
(610) 383-6300
Fax
(610) 383-0114
NPI assigned
Nov 30, 2005
Last updated
Nov 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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 OS011990 PA Primary

Addresses

Primary practice location

200 Municipal Dr
Thorndale, PA 19372-1016

Mailing address

309 Highview Cir
West Chester, PA 19382-1821

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
I20100319000793 PA Practitioner - Family Practice 8729113436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ingleside Medical Associates LLCGroup PAC ID 6507841954, 8 clinicians

Practice addresses (Care Compare)

200 Municipal Dr
Thorndale, PA 19372-1016

200 Municipal Dr
Thorndale, PA 19372-1058
Phone (610) 383-6300

Ingleside Medical Associates
200 Municipal Drive
Thorndale, PA 19372-1016

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.94 of 100Reported as group
Quality
90.81
Promoting interoperability
100
Improvement activities
40
Cost
68.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions18
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ingleside Medical Associates LLC Family Medicine CurrentSince Jul 1, 2002 Accepting new patients

Locations

4223 W Lincoln Hwy
Parkesburg, PA 19365
Phone (215) 383-6300

3149 Lincoln Hwy
Thorndale, PA 19372
Phone (610) 383-1100

200 Municipal Dr
Thorndale, PA 19372
Phone (484) 889-2523

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBFEBA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Holisticare Hospice LimitedWayne, PA, CCN 391751 Hospice Contracted Managing Employee Aug 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1598749012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 HIGHVIEW CIR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193821821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MUNICIPAL DR",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "193721016",
            "telephone_number": "610-383-6300",
            "fax_number": "610-383-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNUCCIO",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS011990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thorndale, PA

Sources for this page

Verify at the official NPI Registry.