Individual provider Active NPI

Renee L Diguiseppe, PA-C

  • Medical Physician Assistant
  • Havertown, PA
National Provider Identifier
1689978355
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA050850 Issued in PA
Practice address
525 W Chester Pike
Suite 203
Havertown, PA 19083-4500
Phone
(610) 789-7767
NPI assigned
Jan 10, 2011
Last updated
Jan 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA050850 PA Primary

Addresses

Primary practice location

525 W Chester Pike
Suite 203
Havertown, PA 19083-4500

Mailing address

525 W Chester Pike
Suite 203
Havertown, PA 19083-4500
Phone (610) 789-7767

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110524000323 PA Practitioner - Physician Assistant 8325224587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Roy M Lerman M D P CGroup PAC ID 5890775878, 14 clinicians

Practice addresses (Care Compare)

700 S Henderson Rd
Suite 308C
King of Prussia, PA 19406-4206
Phone (610) 337-3111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA050850PAMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: renee.diguiseppe@mls.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1689978355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W CHESTER PIKE",
            "address_2": "SUITE 203",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834500",
            "telephone_number": "610-789-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W CHESTER PIKE",
            "address_2": "SUITE 203",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834500",
            "telephone_number": "610-789-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGUISEPPE",
        "first_name": "RENEE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA050850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.