NPIMap

Individual provider Active NPI

Dominic Mirarchi, DO

  • Internal Medicine Physician
  • Lemoyne, PA
National Provider Identifier
1790776078
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS009937L Issued in PA
Practice address
108 Lowther St
Internists of Central PA LTD
Lemoyne, PA 17043-2045
Phone
(717) 774-1366
Fax
(717) 774-4232
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS009937L PA Primary

Addresses

Primary practice location

108 Lowther St
Internists of Central PA LTD
Lemoyne, PA 17043-2045

Mailing address

108 Lowther St
Internists of Central PA LTD
Lemoyne, PA 17043-2045
Phone (717) 774-1366

Other identifiers 1

IdentifierTypeStateIssuer
0018185870001MedicaidPA

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
I20100622000032 PA Practitioner - Internal Medicine 2062543994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internists of Central Pennsylvania LTD.Group PAC ID 7719875921, 17 clinicians

Practice addresses (Care Compare)

108 Lowther St
Lemoyne, PA 17043-2012
Phone (717) 774-1366

108 Lowther St
Lemoyne, PA 17043-2045

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Harrisburg, PA, CCN 397770
  • Residential Home Health of Carlisle, LLC Home health agency, Mechanicsburg, PA, CCN 397047
  • Homeland Homehealth Home health agency, Harrisburg, PA, CCN 398270
  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • Penn State Health Holy Spirit Medical Center Hospital, Camp Hill, PA, CCN 390004
  • Upmc Carlisle Hospital, Carlisle, PA, CCN 390058

Merit-based Incentive Payment System (MIPS)

Final score
46.19 of 100Reported as individual
Quality
28.9
Promoting interoperability
0
Improvement activities
40
Cost
75.05

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Internists of Central Pennsylvania LTD. Internal Medicine CurrentSince Aug 7, 2000 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

108 Lowther St
Lemoyne, PA 17043
Phone (717) 774-1366

Interoperability endpoints

  • Direct secure messaging: dmirarchi@icp.medentdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1790776078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LOWTHER ST",
            "address_2": "INTERNISTS OF CENTRAL PA LTD",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170432045",
            "telephone_number": "717-774-1366",
            "fax_number": "717-774-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LOWTHER ST",
            "address_2": "INTERNISTS OF CENTRAL PA LTD",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170432045",
            "telephone_number": "717-774-1366",
            "fax_number": "717-774-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRARCHI",
        "first_name": "DOMINIC",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS009937L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018185870001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemoyne, PA

Sources for this page

Verify at the official NPI Registry.