Dominick A. Commodaro, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS005617L Issued in PA

Practice address

2807 Bristol Pike
Bensalem, PA 19020-5362

Phone

(215) 639-1281

Fax

(215) 639-3016

NPI assigned

Nov 14, 2006

Last updated

Feb 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 10

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

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Home Health Home health agency, Newtown, PA, CCN 397015
• Jefferson Health at Home by Bayada Home health agency, Horsham, PA, CCN 397145
• Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Aria Health Physician Services

  dba Richboro Medical

  • Family Medicine Physician
  • Richboro, PA
  • NPI 1750949806
  Medicare reassignment Care Compare group NPD
• Bristol Pike Family Practice

  • Family Medicine Physician
  • Bensalem, PA
  • NPI 1023066503
  Authorized official Same address or phone
• Aria Health Physician Services

  dba Geoffrey W. Temple Family Medical Associates

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1053181297
  NPD
• Aria Health Physician Services

  dba Aria Allmed Urgent Care Center Street Road

  • Surgery Physician
  • Bensalem, PA
  • NPI 1437537792

  Family Medicine

  NPD
• Aria Health Physician Services

  dba Aria Health Physician Services - Bucks Surgery

  • Surgery Physician
  • Langhorne, PA
  • NPI 1114981123
  NPD (past)
• HR Physician Services

  dba Redeemer Health Infusion Therapy

  • Internal Medicine Physician
  • Huntingdon Valley, PA
  • NPI 1679450910
  NPD (past)
• HR Physician Services

  dba Somerton Family Medical Associates

  • Family Medicine Physician
  • Feasterville, PA
  • NPI 1962497131
  NPD (past)

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

• Jefferson Health - Northeast

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1801963343
  Care Compare affiliation Name & address match
• Jeffhome PA, LLC.

  dba Jefferson Health at Home by BAYADA

  • Home Health Agency
  • Horsham, PA
  • NPI 1639826969
  Care Compare affiliation
• Jeffhome PA, LLC.

  dba Jefferson Health at Home by BAYADA

  • Home Health Agency
  • Norristown, PA
  • NPI 1902553233
  Care Compare affiliation
• Mercy Home Health

  • Home Health Agency
  • Newtown, PA
  • NPI 1467412296
  Care Compare affiliation

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1821160276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500-6335",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780001",
            "telephone_number": "215-807-8000",
            "fax_number": "215-807-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 BRISTOL PIKE",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205362",
            "telephone_number": "215-639-1281",
            "fax_number": "215-639-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMMODARO",
        "first_name": "DOMINICK",
        "middle_name": "A.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS005617L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010424620003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010424620005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30041893",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010424620001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "37957",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "121502",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4076113",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010424620004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "121502",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "93539",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edythe Cohen, M.S, LPC
• Elizabeth Wilson Cohen, CNM
• Richard D Cohen, DO
• Brooke K Coleman, LCSW
• Mary Rose Coll, LAPC
• Community Health Care Providers LLC
• Compassionate Care Hospice of Gwynedd, Inc.
• Compassionate Hands Home Care Services
• Comprehensive Breast Care Assoc PC
• Contour Medical Supply Inc (Rotech)

• Family Medicine Physician in Bensalem, PA
• Providers in Bensalem, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.