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Deactivated NPI 1316947716 Deactivated / Inactive NPI Male Practitioner

Dr. Daniel F. Bevilacqua , MD

Specialist • Gettysburg, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Daniel Bevilacqua has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 28, 2005
NPI Deactivation Date February 24, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Bevilacqua, MD was a registered Specialist practicing in Gettysburg, PA. Throughout an active medical career spanning 17 years, Dr. Bevilacqua provided care at the practice location at 455 S WASHINGTON ST until profile deactivation on 2022-02-24.

Practice Location & Contact Primary Location

Practice Address

455 S Washington St
Suite 24

Gettysburg, PA 173252516

Telephone 7173349159
Fax 7173347225
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Gettysburg, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.0 Yrs
State Avg: 35.7 Yrs
Regional Practice Density
7 Specialists

Practicing in Gettysburg, PA (2255 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License PA MD012583E

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1821098229

Doctor of Medicine (M.D.)

NPI 1922008218

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 24, 2022

Record deactivated on February 24, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 455 S WASHINGTON ST, SUITE 24, GETTYSBURG, PA 173252516 (Tel: 7173349159)

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Updated Business Mailing Address July 08, 2007

Registered at 455 S WASHINGTON ST, GETTYSBURG, PA 173252516 (Tel: 7173349159)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DANIEL BEVILACQUA, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #MD012583E in PA)

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Initial NPI Registration & Enumeration July 28, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316947716
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2005
Last Update: July 08, 2007
Deactivation Date: February 24, 2022

Mailing Address

455 S Washington St

Gettysburg, PA 173252516

Phone: 7173349159

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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