Active NPI
Julie A Disano, MD
- Surgery Physician
- Hershey, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MT205145
- Practice address
- 500 University Dr
MC H159
Hershey, PA 17033-2360 - Phone
- (717) 531-8557
- NPI assigned
- Jun 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MT205145 | PA | Primary |
Addresses
Primary practice location
500 University Dr
MC H159
Hershey, PA 17033-2360
Mailing address
500 University Dr
MC H159
Hershey, PA 17033-2360
Phone (717) 531-8557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT205145 | Other | PA | PA LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdisano@pennstatehealth.psu.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Hospital Dr
Bennington, VT 05201-5004
Phone (802) 442-6361
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 16 |
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT205145 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwestern Vermont Medical Center Inc. | Surgery | Current | Accepting new patients |
| Southwestern Vermont Medical Center Inc. | Current | Accepting new patients | |
| Southwestern Vermont Medical Center, Inc | Past | Accepting new patients |
Locations
100 Hospital Dr
Bennington, VT 05201
Phone (802) 447-4509
140 Hospital Dr
Ste 205
Bennington, VT 05201
Phone (802) 447-2677
140 Hospital Dr
Ste 116
Bennington, VT 05201
Phone (802) 447-1836
100 Hospital Dr
#44
Bennington, VT 05201
Phone (802) 442-4509
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Bennington, VT
- NPI 1184994162
Surgery
-
- General Acute Care Hospital
- Bennington, VT
- NPI 1205865789
-
- Orthopaedic Surgery Physician
- Bennington, VT
- NPI 1487930632
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bennington, VT
- NPI 1205865789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1871932889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 UNIVERSITY DR",
"address_2": "MC H159",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332360",
"telephone_number": "717-531-8557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 UNIVERSITY DR",
"address_2": "MC H159",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332360",
"telephone_number": "717-531-8557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISANO",
"first_name": "JULIE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-24",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MT205145",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE",
"identifier": "MT205145",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jdisano@pennstatehealth.psu.edu",
"affiliation": "N",
"address_1": "500 University Dr",
"address_2": "MC H159",
"city": "Hershey",
"state": "PA",
"country_code": "US",
"postal_code": "170332360",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hershey, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.