NPIMap

Individual provider Active NPI

Michael James Palazzolo, M.D.

  • Internal Medicine Physician
  • Huntingdon Valley, PA
National Provider Identifier
1659486033
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-036710E Issued in PA
Practice address
821 Huntingdon Pike
Suite 205
Huntingdon Valley, PA 19006-8365
Phone
(215) 379-4001
Fax
(215) 379-8153
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-036710E PA Primary

Addresses

Primary practice location

821 Huntingdon Pike
Suite 205
Huntingdon Valley, PA 19006-8365

Mailing address

1021 Wellington Rd
Jenkintown, PA 19046-3827
Phone (215) 884-7411

Other identifiers 1

IdentifierTypeStateIssuer
1198848MedicaidPA

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
I20111021000285 PA Practitioner - Internal Medicine 1254504046 Practice locations: Huntingdon Valley, PA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Hahnemann University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

821 Huntingdon Pike
Huntingdon Valley, PA 19006-8372
Phone (215) 379-4001

Hospital & facility affiliations

National Provider Directory

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIDGBA/Endpoint/GIDGBA
  • Direct secure messaging: michael.palazzolo@palmd.eclinicaldirectplus.com

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1659486033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 WELLINGTON RD",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463827",
            "telephone_number": "215-884-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 HUNTINGDON PIKE",
            "address_2": "SUITE 205",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190068365",
            "telephone_number": "215-379-4001",
            "fax_number": "215-379-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAZZOLO",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD-036710E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1198848",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

Verify at the official NPI Registry.