Individual provider Active NPI

Anthony D, Dippolito, M.D.

  • Surgery Physician
  • Bethlehem, PA
National Provider Identifier
1730134974
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD023823E Issued in PA
Practice address
1330 Center St
Bethlehem, PA 18018-2528
Phone
(610) 882-9111
Fax
(610) 882-9946
NPI assigned
May 24, 2006
Last updated
Jul 28, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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 MD023823E PA Primary

Addresses

Primary practice location

1330 Center St
Bethlehem, PA 18018-2528

Mailing address

201 Drift Court
Bethlehem, PA 18020-7500
Phone (610) 882-9111

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
I20060327000788 PA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 4981624236 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Creighton University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encore Clinical Services - PA LLCGroup PAC ID 0345695268, 7 clinicians

Practice addresses (Care Compare)

200 Rittenhouse Circle E Building
Suite 4
Bristol, PA 19007-1623
Phone (267) 225-1295

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue50
Removal of skin lesions34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc CurrentSince Jan 7, 2023 Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince Jul 1, 2022 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Schuylkill Health System Medical Group, Inc. Surgery CurrentSince Jul 1, 2022 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jul 1, 2015 Accepting new patients
Anthony Dippolito, M.D., P.C. CurrentSince Jun 28, 2012 Accepting new patients
Star Community Health, Inc CurrentSince Jan 7, 2023 Accepting new patients
Encore Clinical Services - PA LLC CurrentSince Sep 13, 2023 Accepting new patients
Anthony D Dipplolito MD PC Past Accepting new patients
Valley Ambulatory Surgical Center PastSince Jan 18, 2007 Accepting new patients
Yevelson Internal Medicine PastSince May 1, 2003 Accepting new patients

Locations

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

201 Drift Ct
Bethlehem, PA 18020
Phone (610) 882-9111

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

200 Rittenhouse Cir
Ste 4
Bristol, PA 19007
Phone (267) 225-1295

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

316 Mauch Chunk St
Pottsville, PA 17901
Phone (570) 621-5633

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

Organizations & group practices 12

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501200000000",
    "number": "1730134974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DRIFT COURT",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180207500",
            "telephone_number": "610-882-9111",
            "fax_number": "610-882-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 CENTER ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182528",
            "telephone_number": "610-882-9111",
            "fax_number": "610-882-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPPOLITO",
        "first_name": "ANTHONY",
        "middle_name": "D,",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2017-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD023823E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.