ELIZABETH MYREE PROFETA M.D.
NPI 1780147462
Pediatrics - Pediatric Critical Care Medicine in Danville, PA

Q: What is Elizabeth Profeta's NPI number?

The NPI number for Elizabeth Profeta is 1780147462. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Q: What is Elizabeth Profeta's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Profeta was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 10, 2019PECOS Enrolled

100 N ACADEMY AVE, DANVILLE, PA 17822(570) 214-8790(570) 271-5427 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Elizabeth Myree Profeta M.d. NPPES

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

ELIZABETH MYREE PROFETA M.D. (NPI 1780147462) is an individual pediatric critical care medicine provider in Danville, Pennsylvania, licensed in Pennsylvania (MD477731) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (2019).

NPPES Registry Identity

NPI1780147462

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameELIZABETH MYREE PROFETACredential: M.D.

Location Address100 N ACADEMY AVEDanville, PA 17822-9800

Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 214-8790 · Fax (570) 271-5427

Phone(570) 214-8790

Fax(570) 271-5427

Sole ProprietorNo

Medical School CMSPennsylvania State University College Of MedicineGraduated 2019

Enumeration DateApril 10, 2019

Last NPPES UpdateJuly 21, 2025

NPPES CertifiedJuly 21, 2025

✔ NPI 1780147462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in PA · MD477731

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.

100 N ACADEMY AVE, Danville, PA 17822

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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)

Elizabeth Myree Profeta M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325381221

PECOS Enrollment IDI20250828005403

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.

DR. TARA JEAN LOUX MD

Surgery (Pediatric Surgery)