DR. DYLAN GREGORY BERTONI MD
NPI 1376172163
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Dylan Bertoni's NPI number?

The NPI number for Dylan Bertoni is 1376172163. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Q: What is Dylan Bertoni's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Dylan Bertoni was last updated on April 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 03, 2020PECOS EnrolledAccepts Medicare Assignment

925 CHESTNUT ST FL 6, PHILADELPHIA, PA 19107(215) 955-6784(215) 955-2519 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Dylan Gregory Bertoni Md NPPES

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

DR. DYLAN GREGORY BERTONI MD (NPI 1376172163) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (2020).

NPPES Registry Identity

NPI1376172163

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. DYLAN GREGORY BERTONICredential: MD

Location Address925 CHESTNUT ST FL 6Philadelphia, PA 19107-4204

Mailing Address925 Chestnut St Fl 6Philadelphia, PA 19107-4204 · (215) 955-6784 · Fax (215) 955-2519

Phone(215) 955-6784

Fax(215) 955-2519

Sole ProprietorYes

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2020

Enumeration DateApril 3, 2020

NPPES CertifiedApril 3, 2020

✔ NPI 1376172163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

925 CHESTNUT ST FL 6, Philadelphia, PA 19107

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dylan Gregory Bertoni Md 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 ID8325479694

PECOS Enrollment IDI20250528003225

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.

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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.

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