Individual provider Active NPI

Robert Digiovanni, MD

  • Surgery Physician
  • Media, PA
National Provider Identifier
1982672093
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD09559E Issued in PA
Practice address
1098 W Baltimore Pike
Suite 3308 Riddle Health Center 3
Media, PA 19063
Phone
(610) 565-8564
Fax
(610) 565-3046
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD09559E PA Primary

Addresses

Primary practice location

1098 W Baltimore Pike
Suite 3308 Riddle Health Center 3
Media, PA 19063

Mailing address

1118 W Baltimore Pike Ste 100
Media, PA 19063-6105
Phone (484) 227-8350

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
I20040419000904 PA Practitioner - Vascular SurgeryPractitioner - Undersea and Hyperbaric Medicine 8729073713 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD09559EPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare Surgery CurrentSince Jul 1, 2008 Accepting new patients
RMH Vascular Lab Group, P.C. Past Accepting new patients
Riddle Healthcare Associates Past Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

1118 W Baltimore Pike
Ste 100
Media, PA 19063
Phone (484) 227-8350

1088 W Baltimore Pike
Ste 2208
Media, PA 19063
Phone (610) 891-3049

1098 W Baltimore Pike
Ste 3308
Media, PA 19063
Phone (610) 565-8564

Organizations & group practices 3

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1982672093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 W BALTIMORE PIKE STE 100",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190636105",
            "telephone_number": "484-227-8350",
            "fax_number": "484-227-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 W BALTIMORE PIKE",
            "address_2": "SUITE 3308 RIDDLE HEALTH CENTER 3",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "19063",
            "telephone_number": "610-565-8564",
            "fax_number": "610-565-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGIOVANNI",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD09559E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.