DR. KELLY ANN DZIALO MD
NPI 1407013246
Pediatrics in Philadelphia, PA

Q: What is Kelly Dzialo's NPI number?

The NPI number for Kelly Dzialo is 1407013246. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Q: What is Kelly Dzialo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Dzialo was last updated on August 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since May 20, 2008PECOS Enrolled

1233 LOCUST ST, SUITE 400, PHILADELPHIA, PA 19107(215) 545-8188(215) 545-8446 Get Directions Write a Review

NPPES record last updated: August 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kelly Ann Dzialo Md NPPES

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

DR. KELLY ANN DZIALO MD (NPI 1407013246) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD452160) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407013246

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. KELLY ANN DZIALOCredential: MD

Location Address1233 LOCUST ST, SUITE 400Philadelphia, PA 19107-5453

Mailing Address1233 Locust St, Suite 400Philadelphia, PA 19107-5453 · (215) 545-8188 · Fax (215) 545-8446

Phone(215) 545-8188

Fax(215) 545-8446

Sole ProprietorNo

Enumeration DateMay 20, 2008

Last NPPES UpdateAugust 12, 2014

✔ NPI 1407013246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in PA · MD452160✔ Licensed in NJ · 25MA08740500

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1233 LOCUST ST, Philadelphia, PA 19107

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Other Identifiers 1

Medicare UPIN077356 SK3

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Ann Dzialo Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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.

DR. ROSHANI THERESE ANANDAPPA M.D.

Pediatrics

1233 LOCUST ST, SUITE 400
PHILADELPHIA, PA 19107

Philadelphia County (215) 545-8188

PENN NEUROMUSCULAR DIAGNOSTICS, LLC

Clinic/Center (Physical Therapy)

1233 LOCUST ST
PHILADELPHIA, PA 19107

Philadelphia County (724) 801-8894

KAREN MOORE GOLDSTEIN MD

Internal Medicine

1233 LOCUST ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 985-4448

DR. CYNTHIA ANN HILL MD

Pediatrics

1233 LOCUST ST, SUITE 400
PHILADELPHIA, PA 19107

Philadelphia County (215) 545-8188

SHOBHA SHARMA CRNP

Nurse Practitioner (Pediatrics)

1233 LOCUST ST, SUITE 400
PHILADELPHIA, PA 19107

Philadelphia County (215) 545-8188

DR. JEFFREY MARCUS EUGENE MD

Pediatrics (Adolescent Medicine)

1233 LOCUST ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 985-4448

PRIYA M ROYCHOUDHURY MA, BC-DMT, LPC

Counselor

1233 LOCUST ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 790-1788

THOMAS SAMUEL ALBANESI III MD

Internal Medicine

1233 LOCUST ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 790-1788

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 Kelly Dzialo's NPI number?

The NPI number for Kelly Dzialo is 1407013246. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Kelly Dzialo located?

Kelly Dzialo practices at 1233 Locust St Suite 400, Philadelphia, PA 19107. The listed phone number is (215) 545-8188.

What is Kelly Dzialo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kelly Dzialo enrolled in Medicare?

Yes. Kelly Dzialo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Dzialo was last updated on August 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.