Gabrielle Dicamillo, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · New Kensington, PA
NPI 1679366306 · NPPES record last updated May 26, 2025
Key facts
- NPI
- 1679366306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- OT024194 (PA)
- Practice address
- 1072 Fifth Ave
New Kensington, PA 15068-6234 - Phone
- (878) 847-1459
- NPI assigned
- May 26, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250612002306 | PA | Order and Referring Only - Family Practice |
8022529528 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT024194 | PA | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- gabrielle.d.dicamillo@upmcdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OT024194 | PA | Yes |
Addresses
Primary practice location
1072 Fifth Ave
New Kensington, PA 15068-6234
Mailing address
3600 Forbes Ave Ste 140
Pittsburgh, PA 15213-3410
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All providers in New Kensington, PA · Student in an Organized Health Care Education/Training Program in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.