Individual provider Active NPI

Deborah M Farrell, MD

  • Pediatrics Physician
  • Mechanicsburg, PA
National Provider Identifier
1659458453
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD032979E Issued in PA
Practice address
2025 Technology Parkway
Suite 204
Mechanicsburg, PA 17050
Phone
(717) 732-9000
Fax
(717) 732-9011
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD032979E PA Primary

Addresses

Primary practice location

2025 Technology Parkway
Suite 204
Mechanicsburg, PA 17050

Mailing address

2025 Technology Parkway
Suite 204
Mechanicsburg, PA 17050
Phone (717) 732-9000

Other identifiers 2

IdentifierTypeStateIssuer
477931OtherHIGHMARK
50016540OtherCAP BLUE CROSS

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
I20111010000392 PA Practitioner - General PracticePractitioner - Other (Physician) 9032381314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2025 Technology Pkwy
Suite 204
Mechanicsburg, PA 17050-9401
Phone (717) 732-9000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD032979EPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Farrell Plastic Surgery & Laser Center, PC Pediatrics CurrentSince Jul 1, 2003 Accepting new patients
Peter J. Sakol MD LLC Past Accepting new patients

Locations

2025 Technology Pkwy
Ste 204
Mechanicsburg, PA 17050
Phone (717) 732-9000

Organizations & group practices 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659458453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 TECHNOLOGY PARKWAY",
            "address_2": "SUITE 204",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "17050",
            "telephone_number": "717-732-9000",
            "fax_number": "717-732-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 TECHNOLOGY PARKWAY",
            "address_2": "SUITE 204",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "17050",
            "telephone_number": "717-732-9000",
            "fax_number": "717-732-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "DEBORAH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD032979E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "477931",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP BLUE CROSS",
            "identifier": "50016540",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.