Michele Lynn Pelley, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD459145 Issued in PA

Practice address

4829 Street Rd.
Margiotti & Kroll Pediatrics
Trevose, PA 19053

Phone

(215) 364-5800

Fax

(215) 364-5899

NPI assigned

May 19, 2008

Last updated

Jan 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Michele Lynn Davitt Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Margiotti & Kroll Pediatrics, P.C.

  • Pediatrics Physician
  • Trevose, PA
  • NPI 1306800909
  NPD (past)

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1801053798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 STREET RD.",
            "address_2": "MARGIOTTI & KROLL PEDIATRICS",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "19053",
            "telephone_number": "215-364-5800",
            "fax_number": "215-364-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 STREET RD.",
            "address_2": "MARGIOTTI & KROLL PEDIATRICS",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "19053",
            "telephone_number": "215-364-5800",
            "fax_number": "215-364-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEY",
        "first_name": "MICHELE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD459145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "DAVITT",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Joseph O'Neill, OTR/L
• Therese Yoneko Parker
• Partnership for Community Supports
• Partnership for Community Supports
• Parth Patel
• Kristina Lee Peterson, BCBA
• Christine Phair, RN
• Pinnacle Physicians Group LLC
• Plaza Physical Therapy
• Population 1 to 1

• Pediatrics Physician in Trevose, PA
• Providers in Trevose, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.