Individual provider Active NPI

Benjamin O Pelleschi, D.P.M.

  • Podiatrist
  • Lewisberry, PA
National Provider Identifier
1720495658
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC006575 Issued in PA
Practice address
689 Yorktown Rd
Ste 205
Lewisberry, PA 17339-9258
Phone
(717) 938-5200
Fax
(717) 938-5230
NPI assigned
Jul 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC006575 PA Primary

Addresses

Primary practice location

689 Yorktown Rd
Ste 205
Lewisberry, PA 17339-9258

Mailing address

689 Yorktown Rd
Ste 205
Lewisberry, PA 17339-9258
Phone (717) 938-5200

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180507000148 PA Practitioner - Podiatry 4587958129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pelleschi Foot and Ankle Specialists LLCGroup PAC ID 1052787512, 2 clinicians

Practice addresses (Care Compare)

689 Yorktown Rd
Suite 205
Lewisberry, PA 17339-9258
Phone (717) 938-5200

Hospital & facility affiliations

  • Penn State Health Holy Spirit Medical Center Hospital, Camp Hill, PA, CCN 390004
  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue666
Removal or shaving of skin growth400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006575PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pelleschi Foot & Ankle Specialists LLC Podiatrist CurrentSince Apr 1, 2022 Accepting new patients

Locations

689 Yorktown Rd
Ste 205
Lewisberry, PA 17339
Phone (717) 938-5200

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1720495658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 YORKTOWN RD",
            "address_2": "STE 205",
            "city": "LEWISBERRY",
            "state": "PA",
            "postal_code": "173399258",
            "telephone_number": "717-938-5200",
            "fax_number": "717-938-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 YORKTOWN RD",
            "address_2": "STE 205",
            "city": "LEWISBERRY",
            "state": "PA",
            "postal_code": "173399258",
            "telephone_number": "717-938-5200",
            "fax_number": "717-938-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLESCHI",
        "first_name": "BENJAMIN",
        "middle_name": "O",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-11",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisberry, PA

Sources for this page

Verify at the official NPI Registry.