Individual provider Active NPI

Joseph E D'Agostino, PA-C

  • Physician Assistant
  • Harrisburg, PA
National Provider Identifier
1972863009
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA055575 Issued in PA
Practice address
2808 Old Post Rd
Harrisburg, PA 17110-3685
Phone
(717) 920-4400
Fax
(717) 920-4553
NPI assigned
May 23, 2012
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA002880 PA
Physician Assistant 363A00000X MA055575 PA Primary

Addresses

Primary practice location

2808 Old Post Rd
Harrisburg, PA 17110-3685

Mailing address

409 S 2ND St
Suite 2F
Harrisburg, PA 17104-1612
Phone (717) 920-4400

Other practice location 1

1000 N Front St
Wormleysburg, PA 17043-1034
Phone (717) 731-0101

Other practice location 2

900 Century Dr Ste 100
Mechanicsburg, PA 17055-4525
Phone (717) 591-3660

Other identifiers 1

IdentifierTypeStateIssuer
103145953MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jdagostino7349@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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120730000620 PA Practitioner - Physician Assistant 4880850247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Cardiovascular Institute IncGroup PAC ID 6901087006, 117 clinicians

Practice addresses (Care Compare)

111 S Front St
FL 2
Harrisburg, PA 17101-2010
Phone (717) 731-0101

1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
Phone (717) 731-0101

2020 Technology Pkwy
Suite 201
Mechanicsburg, PA 17050-9411
Phone (717) 731-0101

360 Alexander Spring Rd
Carlisle, PA 17015-9129
Phone (717) 243-6557

900 Century Dr
Mechanicsburg, PA 17055-4525
Phone (717) 920-4400

Hospital & facility affiliations

  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067

Merit-based Incentive Payment System (MIPS)

Final score
82.6 of 100Reported as group
Quality
70.07
Promoting interoperability
100
Improvement activities
40
Cost
71.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OA002880PAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: jdagostino284984@upmc.direct-ci.com

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 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": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1972863009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST",
            "address_2": "SUITE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612",
            "telephone_number": "717-920-4400",
            "fax_number": "717-920-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 OLD POST RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171103685",
            "telephone_number": "717-920-4400",
            "fax_number": "717-920-4553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Front St",
            "address_purpose": "LOCATION",
            "city": "Wormleysburg",
            "state": "PA",
            "postal_code": "170431034",
            "country_code": "US",
            "telephone_number": "717-731-0101",
            "fax_number": "717-731-8359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Century Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170554525",
            "country_code": "US",
            "telephone_number": "717-591-3660",
            "fax_number": "717-591-3661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'AGOSTINO",
        "first_name": "JOSEPH",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-23",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA002880",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103145953",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdagostino7349@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2808 Old Post Rd",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171103685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.