Individual provider Active NPI

Daniela Memoli, DO

  • Internal Medicine Physician
  • Harrisburg, PA
National Provider Identifier
1659787232
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OT015762 Issued in PA
Practice address
4300 Londonderry Rd
Harrisburg, PA 17109-5317
Phone
(301) 938-2285
NPI assigned
Jul 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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 OT015762 PA Primary

Addresses

Primary practice location

4300 Londonderry Rd
Harrisburg, PA 17109-5317

Mailing address

4300 Londonderry Rd
Harrisburg, PA 17109-5317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20241112004348 DC Practitioner - Internal MedicinePractitioner - Infectious Disease 3577780543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

3007 Tilden St NW
Suite 5N
Washington, DC 20008-3030

3305 N Leisure World Blvd
Medstar Health at Leisure World BLV
Silver Spring, MD 20906-1367
Phone (301) 598-1590

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

  • Medstar Health Home Care Home health agency, Hyattsville, MD, CCN 217150
  • Amedisys Home Health Care Home health agency, Largo, MD, CCN 217149
  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032
  • Home Call Home health agency, Frederick, MD, CCN 217040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT015762PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 1, 2024 Accepting new patients
Medstar Medical Group II LLC Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3007 Tilden St NW
Ste 5N
Washington, DC 20008

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3305 N Leisure World Blvd
Silver Spring, MD 20906
Phone (301) 598-1011

Interoperability endpoints

  • Direct secure messaging: dmemoli599664@direct.hfhs.org

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.

Hospital & facility affiliations 4

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": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1659787232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 LONDONDERRY RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LONDONDERRY RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095317",
            "telephone_number": "301-938-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMOLI",
        "first_name": "DANIELA",
        "name_prefix": "Miss",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT015762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.