NPIMap

Individual provider Active NPI

Dennis M Destefano, MD

  • Anesthesiology Physician
  • Mechanicsburg, PA
National Provider Identifier
1912997388
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD048986L Issued in PA
Practice address
4999 Louise Dr
Ste 105
Mechanicsburg, PA 17055-6907
Phone
(717) 766-1127
Fax
(717) 766-5518
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD048986L PA Primary

Addresses

Primary practice location

4999 Louise Dr
Ste 105
Mechanicsburg, PA 17055-6907

Mailing address

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 782-5118

Other practice location 1

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 782-5118

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
I20110316000440 PA Practitioner - Anesthesiology 5698842581 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Anesthesia Associates, LTDGroup PAC ID 6305758038, 12 clinicians
Ultracare Anesthesia Partners LLCGroup PAC ID 4082920525, 78 clinicians

Practice addresses (Care Compare)

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 782-3282

4100 Linglestown Rd
Harrisburg, PA 17112-1071
Phone (717) 657-2020

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia, Pennsylvania , LLC Anesthesiology CurrentSince Aug 20, 2023 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC Anesthesiology CurrentSince Apr 21, 2018 Accepting new patients
Centurion Anesthesia Penn LLC Anesthesiology CurrentSince Sep 25, 2025 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC CurrentSince Apr 21, 2018 Accepting new patients

Locations

200 Broadway
Ste 3149
Brooklyn, NY 11211

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1685 Valley Center Pkwy
Unit 200
Butztown, PA 18017
Phone 91768149632278

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

250 College Ave
Lancaster, PA 17603
Phone (717) 291-8211

4100 Linglestown Rd
Linglestown, PA 17112
Phone (717) 657-2020

1500 Highlands Dr
Lititz, PA 17543
Phone (717) 625-5000

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

404 2nd Street Pike
Southampton, PA 18966

Organizations & group practices 6

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 7

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1912997388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171012010",
            "telephone_number": "717-782-5118",
            "fax_number": "717-782-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4999 LOUISE DR",
            "address_2": "STE 105",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556907",
            "telephone_number": "717-766-1127",
            "fax_number": "717-766-5518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 S Front St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171012010",
            "country_code": "US",
            "telephone_number": "717-782-5118",
            "fax_number": "717-782-5854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESTEFANO",
        "first_name": "DENNIS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD048986L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.