Active NPI
Mark D Cipolle, MD
- Surgical Critical Care Physician
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- MD049909L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609883289 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Illinois Medical College, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
- Lehigh Valley Home Care Hazleton
- Lehigh Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10008548 | DE | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Surgery | Current | Accepting new patients |
| Christiana Care Health Services, Inc | Surgery | Current | Accepting new patients |
| Schuylkill Health System Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Hazleton Professional Services | Surgery | Current | Accepting new patients |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Family Care Centers Inc | Current | Accepting new patients | |
| Schuylkill Health System Medical Group, Inc. | Current | Accepting new patients | |
| Family Care Centers Inc. | Surgery | Current | 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.
-
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
- Internal Medicine Physician
- Pottsville, PA
- NPI 1588603567
Surgery
-
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1316409626
-
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
- Transplant Surgery Physician
- Allentown, PA
- NPI 1457309650
-
- Family Medicine Physician
- Pottsville, PA
- NPI 1700648193
-
- General Practice Physician
- Hazleton, PA
- NPI 1942609599
-
- Emergency Medicine Physician
- Pottsville, PA
- NPI 1063073823
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1164400131
-
- Psychiatric Hospital Unit
- Bethlehem, PA
- NPI 1609834001
-
- Home Health Agency
- Allentown, PA
- NPI 1821061979
-
- Children's Hospital
- Allentown, PA
- NPI 1952954307
-
- Home Health Agency
- Hazleton, PA
- NPI 1972667343
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.