NPIMap

Individual provider Active NPI

Michael S Depaolo, D.O.

  • Family Medicine Physician
  • Wind Gap, PA
National Provider Identifier
1891892618
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS006844L Issued in PA
Practice address
826 S Broadway
Wind Gap, PA 18091-1628
Phone
(610) 863-3019
NPI assigned
Sep 20, 2006
Last updated
Feb 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS006844L PA Primary

Addresses

Primary practice location

826 S Broadway
Wind Gap, PA 18091-1628

Mailing address

826 S Broadway
Wind Gap, PA 18091-1628
Phone (610) 863-3019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080319000287 PA Practitioner - Family Practice 8820174626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Weston Group IncGroup PAC ID 8123936796, 215 clinicians
Slate Belt Family Practice PCGroup PAC ID 6305922188, 2 clinicians

Practice addresses (Care Compare)

2222 Sullivan Trail
Easton, PA 18040-7958

2222 Sullivan TRL
Easton, PA 18040-7958
Phone 61043820201010

826 S Broadway
Wind Gap, PA 18091-1628
Phone (610) 863-3019

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.79 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
85.96

Procedures performed for Medicare patients

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS006844LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Slate Belt Family Practice PC Family Medicine CurrentSince Oct 11, 1993 Accepting new patients

Locations

826 S Broadway
Wind Gap, PA 18091
Phone (610) 863-3019

Organizations & group practices 2

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1891892618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 S BROADWAY",
            "city": "WIND GAP",
            "state": "PA",
            "postal_code": "180911628",
            "telephone_number": "610-863-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 S BROADWAY",
            "city": "WIND GAP",
            "state": "PA",
            "postal_code": "180911628",
            "telephone_number": "610-863-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPAOLO",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006844L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wind Gap, PA

Sources for this page

Verify at the official NPI Registry.