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MARK ANTHONY LOGULLO D,C.
NPI 1528110079
Chiropractor in Middletown, DE

Active since January 17, 2007
600 N BROAD ST, SUITE 19, MIDDLETOWN, DE 19709(302) 378-5441(302) 378-3452 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mark Anthony Logullo D,c. NPPES

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

MARK ANTHONY LOGULLO D,C. (NPI 1528110079) is an individual chiropractor in Middletown, Delaware, licensed in Delaware (1999210007) and active in the NPI registry since January 2007. He is a graduate of Life Chiropractic College (1995).

NPPES Registry Identity

NPI1528110079
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMARK ANTHONY LOGULLOCredential: D,C.
Location Address600 N BROAD ST, SUITE 19Middletown, DE 19709-1032
Mailing Address600 N Broad St, Suite 19Middletown, DE 19709-1032 · (302) 378-5441 · Fax (302) 378-3452
Phone(302) 378-5441
Fax(302) 378-3452
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 1995
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1528110079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in DE · 1999210007
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
600 N BROAD ST, Middletown, DE 19709
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Anthony Logullo D,c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577720713
PECOS Enrollment IDI20120131000547

Medicare Billing Reassignment

Medicare enrollment records show Mark Logullo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Logullo Chiropractic Wellness Center PA
0.1 mi
Chiropractor
600 N BROAD ST STE 19
Middletown, DE 19709
  • Reassigned Medicare billing, Delaware enrollment
NPI 1588947790 (302) 378-5441

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

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
533 services27 patients

Other Providers at the Same Location NPPES

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

DR. DIANE JEANETTE DUDDERAR DDS
Dentist (General Practice)
600 N BROAD ST
MIDDLETOWN, DE 19709
New Castle County (302) 376-7882

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 Mark Logullo's NPI number?

The NPI number for Mark Logullo is 1528110079. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Mark Logullo located?

Mark Logullo practices at 600 N Broad St Suite 19, Middletown, DE 19709. The listed phone number is (302) 378-5441.

What is Mark Logullo's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Mark Logullo enrolled in Medicare?

Yes. Mark Logullo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Logullo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Logullo reassigns Medicare benefits to Logullo Chiropractic Wellness Center PA (Middletown, DE). The 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 Mark Logullo'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 Mark Logullo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.