Individual provider Active NPI

Michael A Zittle, DO

  • Family Medicine Physician
  • East Berlin, PA
National Provider Identifier
1639176449
Registry record updated Jan 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS003185L Issued in PA
Practice address
312 Harrisburg St
East Berlin, PA 17316-9505
Phone
(717) 259-0222
Fax
(717) 259-6348
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2021

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 OS003185L PA Primary

Addresses

Primary practice location

312 Harrisburg St
East Berlin, PA 17316-9505

Mailing address

312 Harrisburg St
East Berlin, PA 17316-9505
Phone (717) 259-0222

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mzittle64612@phsdirect.pinnaclehealth.org

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
I20071017000138 PA Practitioner - Family Practice 5496841884 Reassigns benefits to 1 organization
Practice locations: East Berlin, PA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Feb 25, 2019 Accepting new patients
Pinnacle Health Medical Services CurrentSince Feb 25, 2019 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients
Pinnacle Health Medical Services Family Medicine Past Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

Organizations & group practices 5

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611360000000",
    "number": "1639176449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 HARRISBURG ST",
            "city": "EAST BERLIN",
            "state": "PA",
            "postal_code": "173169505",
            "telephone_number": "717-259-0222",
            "fax_number": "717-259-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 HARRISBURG ST",
            "city": "EAST BERLIN",
            "state": "PA",
            "postal_code": "173169505",
            "telephone_number": "717-259-0222",
            "fax_number": "717-259-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITTLE",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS003185L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mzittle64612@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "312 Harrisburg St",
            "city": "East Berlin",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173169505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Berlin, PA

Sources for this page

Verify at the official NPI Registry.