MICHAEL ANTHONY DITORE PMH-NP
NPI 1104535749
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA

Active since November 22, 2022PECOS EnrolledAccepts Medicare Assignment
537 E ALLEGHENY AVE, PHILADELPHIA, PA 19134(215) 921-9500(215) 291-1881 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 11, 2024, Nov 22, 2022 (2 updates tracked since 2022).

About Michael Anthony Ditore Pmh-np NPPES

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

MICHAEL ANTHONY DITORE PMH-NP (NPI 1104535749) is an individual psychiatric/mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP030531) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104535749
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMICHAEL ANTHONY DITORECredential: PMH-NP
Location Address537 E ALLEGHENY AVEPhiladelphia, PA 19134-2328
Mailing Address160 Turners Pond DrLincoln University, PA 19352-1757 · (302) 668-9584
Fax(215) 291-1881
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 22, 2022
Last NPPES UpdateFebruary 24, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2026
✔ NPI 1104535749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in PA · SP030531✔ Licensed in DE · L8-0010367
537 E ALLEGHENY AVE, Philadelphia, PA 19134

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Anthony Ditore Pmh-np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698133940
PECOS Enrollment IDI20241025001189
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

3

Medicare enrollment records show Michael Ditore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
2100 KEYSTONE AVE, SUITE 707
Drexel Hill, PA 19026
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 654 clinicians in this Medicare group
Psychiatric Hospital
400 E MARSHALL ST
West Chester, PA 19380
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 26 clinicians in this Medicare group
Psychiatry
156 S STATE ST
Dover, DE 19901
  • Reassigned Medicare billing, Delaware enrollment
  • 32 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
79 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Counselor (Mental Health)
537 E ALLEGHENY AVE, APT/SUITE
PHILADELPHIA, PA 19134
Counselor (Mental Health)
537 E ALLEGHENY AVE, APT/SUITE
PHILADELPHIA, PA 19134
Counselor (Mental Health)
537 E ALLEGHENY AVE, APT/SUITE
PHILADELPHIA, PA 19134
Counselor (Mental Health)
537 E ALLEGHENY AVE, APT/SUITE
PHILADELPHIA, PA 19134
Counselor (Mental Health)
537 E ALLEGHENY AVE, APT/SUITE
PHILADELPHIA, PA 19134
Counselor (Mental Health)
537 E ALLEGHENY AVE, APT/SUITE
PHILADELPHIA, PA 19134
Counselor (Mental Health)
537 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Counselor (Mental Health)
537 E ALLEGHENY AVE, APT/SUITE
PHILADELPHIA, PA 19134

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 Michael Ditore's NPI number?

The NPI number for Michael Ditore is 1104535749. It was assigned to this individual provider in the NPPES registry on November 22, 2022.

Where is Michael Ditore located?

Michael Ditore practices at 537 E Allegheny Ave, Philadelphia, PA 19134. The listed phone number is (215) 921-9500.

What is Michael Ditore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Michael Ditore enrolled in Medicare?

Yes. Michael Ditore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michael Ditore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Ditore reassigns Medicare benefits to 3 organizations: Prospect Health Access Network, Inc. (Drexel Hill, PA), Haven Behavioral Services Of West Chester, LLC (West Chester, PA) and The Mind And Body Consortium, LLC. (Dover, DE). 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 Michael Ditore'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 Michael Ditore was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.