Individual provider Active NPI

Stacey Lea Donfrancesco, D.O.

  • Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1710272448
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OT014237 Issued in PA
Practice address
4170 City Ave
Department of Graduate Medical Education - Rowland Hall
Philadelphia, PA 19131-1610
Phone
(215) 871-6693
NPI assigned
Jun 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OT014237 PA Primary

Addresses

Primary practice location

4170 City Ave
Department of Graduate Medical Education - Rowland Hall
Philadelphia, PA 19131-1610

Mailing address

4601 Flat Rock Rd
Unit 16
Philadelphia, PA 19127-2027
Phone (401) 829-8256

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
I20180910001064 PA Practitioner - Plastic and Reconstructive Surgery 2365727815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Philadelphia College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HR Physician ServicesGroup PAC ID 0042109902, 188 clinicians

Practice addresses (Care Compare)

3300 Tillman Dr
Bensalem, PA 19020-2071
Phone (215) 447-8054

Hospital & facility affiliations

  • Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy48
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT014237PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HR Physician Services CurrentSince Sep 10, 2018 Accepting new patients
HR Physician Services CurrentSince Sep 10, 2018 Accepting new patients
HR Physician Services Surgery Current Accepting new patients
HR Physician Services Past Accepting new patients
HR Physician Services Past Accepting new patients

Locations

3300 Tillman Dr
Fl 1
Bensalem, PA 19020
Phone (215) 244-2430

3300 Tillman Dr
Bensalem, PA 19020
Phone (215) 244-7400

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1650 Huntingdon Pike
Ste 150
Meadowbrook, PA 19046
Phone (215) 447-8054

1648 Huntingdon Pike
Ofc First
Meadowbrook, PA 19046
Phone (215) 938-3450

Interoperability endpoints

  • Direct secure messaging: stacey.lea.donfrancesco.1@17399.direct.athenahealth.com

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 1

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": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1710272448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 FLAT ROCK RD",
            "address_2": "UNIT 16",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191272027",
            "telephone_number": "401-829-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 CITY AVE",
            "address_2": "DEPARTMENT OF GRADUATE MEDICAL EDUCATION - ROWLAND HALL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311610",
            "telephone_number": "215-871-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONFRANCESCO",
        "first_name": "STACEY",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "OT014237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.