Andrea W Pellegrino, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD431194 Issued in PA

Practice address

143 Church St
Phoenixville, PA 19460-3438

Phone

(610) 935-1134

NPI assigned

May 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JGDCBA

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.

• Trivalley Primary Care, PC

  • Family Medicine Physician
  • Perkasie, PA
  • NPI 1245295757
  Medicare reassignment NPD
• Delta Medical Group

  • Emergency Medicine Physician
  • Greenville, MS
  • NPI 1790701134

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1992906317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 CHURCH ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603438",
            "telephone_number": "610-935-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 CHURCH ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603438",
            "telephone_number": "610-935-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRINO",
        "first_name": "ANDREA",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD431194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019649900001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Paulk
• Marcela Pavon, PT, DPT
• Linda M. Payne
• Adrian Pearson, DO
• Robert A Peifer Jr., O.D.
• Heather Joy Pendal, RPH, PHARMD
• Penn Medicine-Pma
• Penn Psychiatric Center Inc
• Penncare French Creek Family Medicine
• Pennsylvania Behavioral Health Center

• Family Medicine Physician in Phoenixville, PA
• Providers in Phoenixville, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.