NPIMap

Individual provider Active NPI

Danelle Valerie Bertozzi

  • Surgical Critical Care Physician
  • Abington, PA
National Provider Identifier
1740629377
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
MD461969 Issued in PA
Practice address
1245 Highland Ave Ste 600
Abington, PA 19001-3727
Phone
(215) 887-3990
Fax
(215) 887-1140
NPI assigned
Jun 17, 2013
Last updated
Nov 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD461969 PA
Surgical Critical Care Physician 2086S0102X MD461969 PA Primary
Trauma Surgery Physician 2086S0127X MD461969 PA

Addresses

Primary practice location

1245 Highland Ave Ste 600
Abington, PA 19001-3727

Mailing address

1245 Highland Ave Ste 600
Abington, PA 19001-3727
Phone (215) 887-3990

Other practice location 1

1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-7464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191008002566 PA Practitioner - General Surgery 1355584798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Pennsylvania State University College of Medicine, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1245 Highland Ave
Suite 600
Abington, PA 19001-3727

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.59 of 100Reported as group
Quality
87.71
Improvement activities
40
Cost
77.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD461969PAMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Care Specialists Inc Surgery CurrentSince Oct 1, 2019 Accepting new patients
Abington Memorial Hospital Past Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1245 Highland Ave
Ste 600
Abington, PA 19001
Phone (215) 887-3990

Interoperability endpoints

  • Direct secure messaging: danelle.bertozzi@scs.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CECJAA

Organizations & group practices 2

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 4

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": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1740629377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 HIGHLAND AVE STE 600",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013727",
            "telephone_number": "215-887-3990",
            "fax_number": "215-887-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 HIGHLAND AVE STE 600",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013727",
            "telephone_number": "215-887-3990",
            "fax_number": "215-887-1140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Abington",
            "state": "PA",
            "postal_code": "190013720",
            "country_code": "US",
            "telephone_number": "215-481-7464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERTOZZI",
        "first_name": "DANELLE",
        "middle_name": "VALERIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD461969",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "PA",
            "license": "MD461969",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "PA",
            "license": "MD461969",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.