Individual provider Active NPI

Anthony Ralph Piccolo, D.O.

  • Obstetrics & Gynecology Physician
  • York, PA
National Provider Identifier
1881671253
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS003760L Issued in PA
Practice address
1225 E Market St
York, PA 17403-1250
Phone
(717) 846-2168
Fax
(717) 699-1300
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS003760L PA Primary

Addresses

Primary practice location

1225 E Market St
York, PA 17403-1250

Mailing address

1225 E Market St
York, PA 17403-1250
Phone (717) 846-2168

Other identifiers 1

IdentifierTypeStateIssuer
009629420003MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address apiccolo64299@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120320000845 PA Practitioner - Obstetrics/Gynecology 1658386289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

1232 Greensprings Dr
York, PA 17402-8825
Phone (717) 845-9639

1701 Innovation Dr
York, PA 17408-8815
Phone (717) 843-8623

1703 Innovation Dr
York, PA 17408-8815

2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Obstetrics & Gynecology Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 3, 2019 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 3, 2019 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

1703 Innovation Dr
Ste 3136
York, PA 17408
Phone (717) 741-3449

1232 Greensprings Dr
York, PA 17402
Phone (717) 207-4800

1785 4th Ave
York, PA 17403
Phone (717) 849-5474

1225 E Market St
York, PA 17403
Phone (717) 845-9639

Interoperability endpoints

  • Direct secure messaging: apiccolo299618@upmc.direct-ci.com

Organizations & group practices 4

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 11

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1881671253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E MARKET ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174031250",
            "telephone_number": "717-846-2168",
            "fax_number": "717-699-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E MARKET ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174031250",
            "telephone_number": "717-846-2168",
            "fax_number": "717-699-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCOLO",
        "first_name": "ANTHONY",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS003760L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009629420003",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apiccolo64299@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1225 E Market St",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174031250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.