Individual provider Active NPI

Mark D Cipolle, MD

  • Surgical Critical Care Physician
  • Allentown, PA
National Provider Identifier
1609883289
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
MD049909L Issued in PA
Practice address
1240 S Cedar Crest Blvd Ste 308
Allentown, PA 18103
Phone
(610) 402-1350
Fax
(610) 402-1356
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X C10008548 DE
Surgical Critical Care Physician 2086S0102X C10008548 DE
Trauma Surgery Physician 2086S0127X MD049909L PA
Surgical Critical Care Physician 2086S0102X MD049909L PA Primary

Addresses

Primary practice location

1240 S Cedar Crest Blvd Ste 308
Allentown, PA 18103

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Other practice location 1

4735 Ogletown Stanton Rd
Suite 3301
Newark, DE 19713
Phone (302) 623-4370

Other practice location 2

4735 Ogletown Stanton Rd
Suite 3301
Newark, DE 19713
Phone (302) 623-4370

Other identifiers 1

IdentifierTypeStateIssuer
1609883289MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040701000996 PA Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 8628060688 Reassigns benefits to 4 organizations
I20080104000211 DE Practitioner - General Surgery 8628060688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Illinois Medical College, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1240 S Cedar Crest Blvd
308 LVPG General and Trauma Surgery
Allentown, PA 18103-6373
Phone (610) 402-1350

Hospital & facility affiliations

  • Lehigh Valley Home Care Home health agency, Allentown, PA, CCN 397023
  • Lehigh Valley Home Care Hazleton Home health agency, Hazleton, PA, CCN 397455
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10008548DEMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Surgery Current Accepting new patients
Christiana Care Health Services, Inc Surgery CurrentSince Nov 1, 2007 Accepting new patients
Schuylkill Health System Medical Group, Inc. Surgery CurrentSince Oct 1, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 20, 2023 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 23, 2019 Accepting new patients
Hazleton Professional Services Surgery CurrentSince Sep 20, 2023 Accepting new patients
Christiana Care Health Services Inc CurrentSince Nov 1, 2007 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 23, 2019 Accepting new patients
Family Care Centers Inc CurrentSince Oct 19, 2022 Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Family Care Centers Inc. Surgery CurrentSince Oct 19, 2022 Accepting new patients
Lehigh Valley Hospital Past Accepting new patients
Christiana Care Health Services, Inc Surgery Past Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

4735 Ogletown Stanton Rd
Ste 3301
Newark, DE 19713
Phone (302) 623-4370

4701 Ogletown Stanton Rd
Ste 1500
Newark, DE 19713
Phone (302) 623-4343

501 W 14th St
#4154
Wilmington, DE 19801
Phone (302) 428-4175

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

1210 S Cedar Crest Blvd
Ste 3300
Allentown, PA 18103
Phone (610) 402-8506

1210 S Cedar Crest Blvd
Ste 3100
Allentown, PA 18103
Phone (610) 402-1350

1240 S Cedar Crest Blvd
Ste 308
Allentown, PA 18103
Phone (610) 402-1175

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

50 Moisey Dr
Ste 100
Hazle Township, PA 18202
Phone (570) 501-6500

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

48 Tunnel Rd
Pottsville, PA 17901
Phone (570) 622-5555

1411 Jacobsburg Rd
Fl 2
Wind Gap, PA 18091

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 7

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1609883289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S CEDAR CREST BLVD STE 308",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18103",
            "telephone_number": "610-402-1350",
            "fax_number": "610-402-1356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4735 Ogletown Stanton Rd",
            "address_2": "Suite 3301",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "19713",
            "country_code": "US",
            "telephone_number": "302-623-4370",
            "fax_number": "302-623-3852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4735 Ogletown Stanton Rd",
            "address_2": "Suite 3301",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "19713",
            "country_code": "US",
            "telephone_number": "302-623-4370",
            "fax_number": "302-623-3852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIPOLLE",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DE",
            "license": "C10008548",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "DE",
            "license": "C10008548",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "PA",
            "license": "MD049909L",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "PA",
            "license": "MD049909L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609883289",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.