Individual provider Active NPI

Diane M. Deely, M.D.

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1982629424
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD047440L Issued in PA
Practice address
111 S 11TH St
Suite 3390
Philadelphia, PA 19107-4824
Phone
(215) 955-6226
Fax
(215) 923-1562
NPI assigned
Jul 13, 2006
Last updated
Mar 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD047440L PA Primary

Addresses

Primary practice location

111 S 11TH St
Suite 3390
Philadelphia, PA 19107-4824

Mailing address

111 S 11TH St
Suite 8490
Philadelphia, PA 19107-4824

Other identifiers 2

IdentifierTypeStateIssuer
6376801MedicaidNJ
001299161MedicaidPA

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
I20040315000173 PA Practitioner - Diagnostic Radiology 9335038652 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Pittsburgh School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians
Rittenhouse Imaging Center, LLCGroup PAC ID 5193624583, 39 clinicians
800 Imaging Associates LLCGroup PAC ID 3173530029, 20 clinicians

Practice addresses (Care Compare)

1 W Germantown Pike
East Norriton, PA 19401-1513
Phone (610) 277-3202

10160 Bustleton Ave E
Jefferson Outpatient Imaging
Philadelphia, PA 19116-3749
Phone (215) 503-4900

1101 Chestnut St
Philadelphia, PA 19107-3619
Phone (800) 533-3669

1101 Market St
FL 19
Philadelphia, PA 19107-2926

111 S 11TH St
Philadelphia, PA 19107-4824

150 E Pennsylvania Ave
Mdi Dowingtown
Downingtown, PA 19335-2632
Phone (610) 518-6300

2301 S Broad St
Philadelphia, PA 19148-3542

3 Crescent Dr
Suite 1002
Philadelphia, PA 19112-1016
Phone (215) 503-4900

3300 Tillman Dr
Bensalem, PA 19020-2071
Phone (215) 244-7400

400 Enterprise Dr
102 Mdi Limerick
Limerik, PA 19468-1215
Phone (215) 649-0250

534 2ND Ave
Suite 102
Collegeville, PA 19426-2654
Phone (610) 831-0500

650 Carnegie Blvd
Suite 240
Malvern, PA 19355-8519
Phone (215) 503-4900

800 W State St
Suite 203
Doylestown, PA 18901-5842
Phone (215) 345-4568

8305 Ridge Ave
Philadelphia, PA 19128-2113
Phone (215) 482-4800

834 Walnut St
Suite 110
Philadelphia, PA 19107-5109
Phone (215) 503-4779

850 Walnut St
Philadelphia, PA 19107-5109

925 Chestnut St
Philadelphia, PA 19107-4204

925 Chestnut St
Suite 3
Philadelphia, PA 19107-4216
Phone (215) 955-8874

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD047440LPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Associates in Healthcare, Inc Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Jefferson University Radiology Associates, LLC Diagnostic Radiology CurrentSince Apr 18, 2010 Accepting new patients
Jefferson University Radiology Associates LLC Diagnostic Radiology CurrentSince Apr 18, 2010 Accepting new patients
Jefferson University Physicians Diagnostic Radiology CurrentSince Jun 1, 1998 Accepting new patients
Lebanon Diagnostic Imaging, LLC Diagnostic Radiology CurrentSince May 17, 2017 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Oct 15, 2008 Accepting new patients
Jefferson University Radiology Associates LLC Diagnostic Radiology Current Accepting new patients
Jefferson University Physicians CurrentSince Jun 1, 1998 Accepting new patients
Jeanes Radiology Associates LLC Diagnostic Radiology CurrentSince Feb 13, 2010 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Jan 1, 2025 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Oct 15, 2008 Accepting new patients
800 Imaging Associates LLC CurrentSince Jan 1, 2006 Accepting new patients
Rittenhouse Imaging Center, LLC Diagnostic Radiology CurrentSince May 17, 2017 Accepting new patients
Insight Health Corp PastSince May 17, 2017 Accepting new patients
Imaging Associates, PA Past Accepting new patients
Jefferson University Physicians Diagnostic Radiology Past Accepting new patients
Imaging Professionals of Pennsylvania PC Diagnostic Radiology Past Accepting new patients

Locations

462 Gateway Ave
Chambersburg, PA 17201
Phone (717) 263-4999

150 E Pennsylvania Ave
Downingtown, PA 19335
Phone (215) 772-9674

800 W State St
Ste 203
Doylestown, PA 18901
Phone (215) 345-4568

825 Town Center Dr
Ste 100
Langhorne, PA 19047
Phone (215) 750-1615

111 S 11th St
Philadelphia, PA 19107
Phone (215) 955-6161

111 S 11th St
#G3350
Philadelphia, PA 19107
Phone (610) 667-3323

111 S 11th St
Ste 3390
Philadelphia, PA 19107
Phone (215) 955-2900

111 S 11th St
Ste 8490
Philadelphia, PA 19107
Phone (215) 955-6161

2301 S Broad St
Philadelphia, PA 19148
Phone (215) 952-9000

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

301 Callowhill St
Philadelphia, PA 19123
Phone (215) 574-9400

850 Walnut St
Philadelphia, PA 19107
Phone (215) 503-4900

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Organizations & group practices 17

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.

View all 17

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1982629424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "address_2": "SUITE 8490",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "address_2": "SUITE 3390",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-6226",
            "fax_number": "215-923-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEELY",
        "first_name": "DIANE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD047440L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6376801",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001299161",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.