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MICHAEL D DETTORRE DO
NPI 1336137439
Pediatrics - Pediatric Critical Care Medicine in Hershey, PA

Active since October 12, 2005PECOS Enrolled
500 UNIVERSITY DR, M.S.HERSHEY MEDICAL CENTER, HERSHEY, PA 17033(717) 531-5337(717) 531-0809 Get Directions Write a Review

NPPES record last updated: December 21, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Michael D Dettorre Do NPPES

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

MICHAEL D DETTORRE DO (NPI 1336137439) is an individual pediatric critical care medicine provider in Hershey, Pennsylvania, licensed in Pennsylvania (OS006989L) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336137439
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameMICHAEL D DETTORRECredential: DO
Location Address500 UNIVERSITY DR, M.S.HERSHEY MEDICAL CENTERHershey, PA 17033-2360
Mailing Address500 University Dr, M.s.hershey Medical CenterHershey, PA 17033-2360 · (717) 531-5337 · Fax (717) 531-0809
Phone(717) 531-5337
Fax(717) 531-0809
Sole ProprietorNo
Enumeration DateOctober 12, 2005
Last NPPES UpdateDecember 21, 2011
✔ NPI 1336137439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in PA · OS006989L
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License OS006989L (PA)
500 UNIVERSITY DR, Hershey, PA 17033
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Other Identifiers 3

Medicare UPINF56040
Medicaid0014126250006PA
Medicare ID-Type Unspecified743302

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael D Dettorre 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.

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.

MR. DANIEL MICHAEL WEISS I PA-C
Physician Assistant
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-7299
NICOLE SWALLOW M.D.
Internal Medicine
500 UNIVERSITY DR, H088
HERSHEY, PA 17033
Dauphin County (717) 531-1692
NEERAV GOYAL M.D.
Otolaryngology
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8521
KARIMA C FITZGERALD M.D.
Surgery (Trauma Surgery)
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8887
DR. ANTHONY SIMON BONAVIA M.D.
Anesthesiology (Critical Care Medicine)
500 UNIVERSITY DR, BOX 3951, DAVISON BLDG, TRENT DRIVE
HERSHEY, PA 17033
Dauphin County (717) 531-8521
DR. HIROKO SHIKE MD
Pathology (Clinical Pathology/Laboratory Medicine)
500 UNIVERSITY DR, HERSHEY MEDICAL CENTER
HERSHEY, PA 17033
Dauphin County (717) 531-8615
MARIUM TARIQ M.D.
Family Medicine
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8521
KANTHI BANGALORE KRISHNA MBBS
Pediatrics (Pediatric Endocrinology)
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (800) 243-1455

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 Dettorre's NPI number?

The NPI number for Michael Dettorre is 1336137439. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Michael Dettorre located?

Michael Dettorre practices at 500 University Dr M.S.Hershey Medical Center, Hershey, PA 17033. The listed phone number is (717) 531-5337.

What is Michael Dettorre's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Michael Dettorre enrolled in Medicare?

Yes. Michael Dettorre is registered in the Medicare PECOS enrollment system.

What insurance does Michael Dettorre accept?

Health plans from CareSource list Michael Dettorre as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Dettorre was last updated on December 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.