MR. DUSTIN DANIEL FLANNERY DO
NPI 1073802591
Pediatrics - Neonatal-Perinatal Medicine in Philadelphia, PA

Active since April 05, 2011PECOS Enrolled
3401 CIVIC CENTER BLVD, DIVISION OF NEONATOLOGY, PHILADELPHIA, PA 19104(215) 662-3228 Get Directions Write a Review

NPPES record last updated: May 2, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Dustin Daniel Flannery Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DUSTIN DANIEL FLANNERY DO (NPI 1073802591) is an individual neonatal-perinatal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS016578) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073802591
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameMR. DUSTIN DANIEL FLANNERYCredential: DO
Location Address3401 CIVIC CENTER BLVD, DIVISION OF NEONATOLOGYPhiladelphia, PA 19104-4319
Mailing Address3401 Civic Center Blvd, Division Of NeonatologyPhiladelphia, PA 19104-4319
Sole ProprietorNo
Enumeration DateApril 5, 2011
Last NPPES UpdateMay 2, 2018
✔ NPI 1073802591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in PA · OS016578
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedGeneral PracticeTaxonomy 208D00000X · License OS016578 (PA), C20010658 (DE)
Also ListedHospitalistTaxonomy 208M00000X · License OSO16578 (PA)
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Dustin Daniel Flannery Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Dustin Flannery reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Plastic Surgery
3400 CIVIC CENTER BLVD, SOUTH PAVILLION 1ST FLOOR
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
Multi-Specialty
833 CHESTNUT ST STE 301
Philadelphia, PA 19107
  • Reassigned Medicare billing, Delaware enrollment
  • 526 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dustin Flannery's NPI number?

The NPI number for Dustin Flannery is 1073802591. It was assigned to this individual provider in the NPPES registry on April 5, 2011.

Where is Dustin Flannery located?

Dustin Flannery practices at 3401 Civic Center Blvd Division Of Neonatology, Philadelphia, PA 19104. The listed phone number is (215) 662-3228.

What is Dustin Flannery's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Dustin Flannery enrolled in Medicare?

Yes. Dustin Flannery is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dustin Flannery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dustin Flannery reassigns Medicare benefits to 2 organizations: University Of Penn-Medical Group (Philadelphia, PA) and The Nemours Foundation (Philadelphia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dustin Flannery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dustin Flannery was last updated on May 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.