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EASTERN PENNSYLVANIA INFECTIOUS DISEASE ASSOCIATES, LLC
NPI 1588717565
Internal Medicine - Infectious Disease in King Of Prussia, PA

Active since January 21, 2007
170 N HENDERSON RD STE 310, KING OF PRUSSIA, PA 19406(610) 481-0225 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 18, 2025, Apr 3, 2023, Mar 29, 2021 and 2 more (5 updates tracked since 2018).

About Eastern Pennsylvania Infectious Disease Associates, Llc NPPES

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

EASTERN PENNSYLVANIA INFECTIOUS DISEASE ASSOCIATES, LLC (NPI 1588717565) is a healthcare organization registered as an infectious disease in King Of Prussia, Pennsylvania and active in the NPI registry since January 2007. The organization lists Tara J Nakoa, Billing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1588717565
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameEASTERN PENNSYLVANIA INFECTIOUS DISEASE ASSOCIATES, LLC
Location Address170 N HENDERSON RD STE 310King Of Prussia, PA 19406-2155
Mailing Address170 N Henderson Rd Ste 310King Of Prussia, PA 19406-2155 · (610) 481-9600 · Fax (610) 481-0225
Phone(610) 481-0225
Organization SubpartNo
Authorized OfficialTara J NakoaBilling Coordinator · (610) 596-4220
Enumeration DateJanuary 21, 2007
Last NPPES UpdateJune 15, 20265 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1588717565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in PA · MD069250L
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
170 N HENDERSON RD STE 310, King Of Prussia, PA 19406
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastern Pennsylvania Infectious Disease Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Eastern Pennsylvania Infectious Disease Associates, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Denisse Dececco, FNP-C
Nurse Practitioner
NPI 1710455175
170 N HENDERSON RD STE 310
King Of Prussia, PA 19406
(610) 481-9600
✔ PECOS✔ Accepts MedicareSame address
Amit Gangoli, MD
Infectious Disease
NPI 1396732996
170 N HENDERSON RD STE 310
King Of Prussia, PA 19406
(610) 481-9600
✔ PECOS✔ Accepts MedicareSame address
Bridgette Maynfeld
Nurse Practitioner
NPI 1538008156
170 N HENDERSON RD STE 310
King Of Prussia, PA 19406
(610) 481-9600
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Eastern Pennsylvania Infectious Disease Associates, LLC's NPI number?

The NPI number for Eastern Pennsylvania Infectious Disease Associates, LLC is 1588717565. It was assigned to this organization in the NPPES registry on January 21, 2007.

Where is Eastern Pennsylvania Infectious Disease Associates, LLC located?

Eastern Pennsylvania Infectious Disease Associates, LLC is located at 170 N Henderson Rd Ste 310, King Of Prussia, PA 19406. The listed phone number is (610) 481-0225.

What is Eastern Pennsylvania Infectious Disease Associates, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Eastern Pennsylvania Infectious Disease Associates, LLC enrolled in Medicare?

Yes. Eastern Pennsylvania Infectious Disease Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastern Pennsylvania Infectious Disease Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Eastern Pennsylvania Infectious Disease Associates, LLC, in Infectious Disease and Nurse Practitioner. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eastern Pennsylvania Infectious Disease Associates, LLC was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.