Individual provider Active NPI

Brian Pellini, M.D.

  • Surgery Physician
  • Doylestown, PA
National Provider Identifier
1972632198
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
445433 Issued in PA
Practice address
599 W State Street
Suite 302
Doylestown, PA 18901-2554
Phone
(215) 348-7195
Fax
(215) 348-8633
NPI assigned
Mar 5, 2007
Last updated
Sep 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 049884 CT
Surgery Physician 208600000X 445433 PA Primary

Addresses

Primary practice location

599 W State Street
Suite 302
Doylestown, PA 18901-2554

Mailing address

PO Box 829641
Philadelphia, PA 19182-0001
Phone (672) 370-5296

Other identifiers 1

IdentifierTypeStateIssuer
244538K3HOtherPAMEDICARE

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
I20120813000071 PA Practitioner - General Surgery 5294912416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Via AffiliatesGroup PAC ID 1759295512, 180 clinicians
Clinical Specialty AssociatesGroup PAC ID 5799295853, 165 clinicians

Practice addresses (Care Compare)

595 W State St
Doylestown, PA 18901-2554
Phone (215) 345-2885

599 W State St
Doylestown, PA 18901-2567
Phone (215) 348-7195

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy14
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)52
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
049884CTMDSurgery Physician
445433PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Via Affiliates CurrentSince Aug 1, 2012 Accepting new patients
Via Affiliates CurrentSince Aug 1, 2012 Accepting new patients
Clinical Specialty Associates CurrentSince Oct 10, 2025 Accepting new patients
Clinical Specialty Associates CurrentSince Oct 10, 2025 Accepting new patients
Clinical Specialty Associates Past Accepting new patients
Doylestown Internal Medicine Associates PC Past Accepting new patients

Locations

593 W State St
Ste 300
Doylestown, PA 18901
Phone (215) 348-7195

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

599 W State St
Ste 302
Doylestown, PA 18901
Phone (215) 230-6982

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

Interoperability endpoints

  • Direct secure messaging: brian.pellini@dhcp.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1972632198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829641",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191820001",
            "telephone_number": "672-370-5296",
            "fax_number": "215-230-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 W STATE STREET",
            "address_2": "SUITE 302",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012554",
            "telephone_number": "215-348-7195",
            "fax_number": "215-348-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLINI",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "049884",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "445433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "244538K3H",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.