Individual provider Active NPI

Amanda Stahl Piraino, DO

  • Family Medicine Physician
  • Media, PA
National Provider Identifier
1891284790
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS021508 Issued in PA
Practice address
1088 W Baltimore Pike
Media, PA 19063-5146
Phone
(484) 227-8175
NPI assigned
May 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PA
Family Medicine Physician 207Q00000X OS021508 PA Primary

Addresses

Primary practice location

1088 W Baltimore Pike
Media, PA 19063-5146

Mailing address

1088 W Baltimore Pike
Media, PA 19063-5146
Phone (484) 227-8175

Other practice location 1

135 S Bryn Mawr Ave Ste 205
Bryn Mawr, PA 19010-3129
Phone (484) 337-2885

Other identifiers 1

IdentifierTypeStateIssuer
1891284790MedicaidPA

Other names 1

  • Dr. Amanda Marie Stahl Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.mainlinehealth.org/main-line-healthcare/our-practices/family-medicine-at-riddle-hospital

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
I20211025000147 PA Practitioner - Family Practice 1456609106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

1088 W Baltimore Pike
2506 MLHC Family Medicine at Riddle
Media, PA 19063-5166
Phone (484) 227-8175

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS021508PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare Family Medicine CurrentSince Aug 3, 2021 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

1020 Baltimore Pike
Ste 100
Glen Mills, PA 19342
Phone (484) 227-7790

1088 W Baltimore Pike
Media, PA 19063
Phone (610) 744-2960

1088 W Baltimore Pike
Ste 2506
Media, PA 19063
Phone (484) 227-8175

1088 W Baltimore Pike
Ste 2301
Media, PA 19063
Phone (484) 227-8175

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

Organizations & group practices 1

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 4

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": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1891284790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 W BALTIMORE PIKE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635146",
            "telephone_number": "484-227-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 W BALTIMORE PIKE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635146",
            "telephone_number": "484-227-8175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 S Bryn Mawr Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190103129",
            "country_code": "US",
            "telephone_number": "484-337-2885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAHL PIRAINO",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS021508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891284790",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mainlinehealth.org/main-line-healthcare/our-practices/family-medicine-at-riddle-hospital",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "1088 W Baltimore Pike",
            "city": "Media",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190635146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "STAHL",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.