Individual provider Active NPI

Giuseppe Lancellotti, MD

  • Pediatrics Physician
  • Ephrata, PA
National Provider Identifier
1982660445
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD036088E Issued in PA
Practice address
159 North Reading Rd
Baca Pediatrics
Ephrata, PA 17522-1671
Phone
(717) 733-0790
Fax
(717) 733-1802
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD036088E PA Primary

Addresses

Primary practice location

159 North Reading Rd
Baca Pediatrics
Ephrata, PA 17522-1671

Mailing address

159 North Reading Rd
Baca Pediatrics
Ephrata, PA 17522-1671
Phone (717) 733-0790

Other identifiers 3

IdentifierTypeStateIssuer
232416802MedicaidPA
01686701OtherCAPITAL BLUE CROSS
0010499370002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD036088EPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ephrata Community Hospital Past Accepting new patients
Baca Pediatrics Pediatrics Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1982660445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 NORTH READING RD",
            "address_2": "BACA PEDIATRICS",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221671",
            "telephone_number": "717-733-0790",
            "fax_number": "717-733-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 NORTH READING RD",
            "address_2": "BACA PEDIATRICS",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221671",
            "telephone_number": "717-733-0790",
            "fax_number": "717-733-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCELLOTTI",
        "first_name": "GIUSEPPE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD036088E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232416802",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "01686701",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010499370002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.