NPPES file of Aug 9, 2026

Gino Mongelluzzo, M.D.

Neuroradiology Physician · Danville, PA

Gino Mongelluzzo, M.D. is a neuroradiology physician with a practice address in Danville, Pennsylvania, and NPI 1417278698, issued on Jun 22, 2010. Check the license (Pennsylvania MD458500, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1417278698
Name
Gino Mongelluzzo
Credential
M.D.
Primary taxonomy
Neuroradiology Physician 2085N0700X
License number
MD458500 PA
Self-reported in NPPES; status is on the state search
Practice location
100 North Academy Avenue, Danville, PA 17822
Phone
(570) 271-6301
Enumerated
Jun 22, 2010
Record last updated
Oct 10, 2016 (not updated in 10 years: call before relying on the address or phone)
Fax
(570) 271-5976
Medicare enrollment
Enrolled (PECOS I20160823001513); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 100 North Academy Avenue

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Malak Al-BitarStudent in an Organized Health Care Education/Training Program1730823790
  2. Sejin BaeOral & Maxillofacial Surgery (D.M.D.)1528697109
  3. Vidya Bollavaram, M.D.Student in an Organized Health Care Education/Training Program1942944467
  4. Anish Chandran Chandra SenanStudent in an Organized Health Care Education/Training Program1730016965
  5. Ronald Evans, D.O.Critical Care Medicine (Internal Medicine) Physician1538193032
  6. Asim Khan, M.D.Student in an Organized Health Care Education/Training Program1386431732

Verify Gino Mongelluzzo in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD458500
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Pennsylvania license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

Bills Medicare through 2 group practices

  1. Geisinger ClinicDanville, PA
  2. Geisinger-HM Joint Venture LLCMuncy, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Gino Mongelluzzo among 104 neuroradiology physician records in Pennsylvania

Gino Mongelluzzo, M.D. is one of 104 neuroradiology physician records with a practice address in Pennsylvania. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 57% of them.

  • NPI issued2010 · 57% of these records are older, 40% newer
  • In a Medicare fileYes · 82% of these records are
  • In the CMS Doctors and Clinicians fileYes · 74% of these records are
  • Graduated2010 · median 2006 among the 77 with a school on file
  • Record last updated2016 · 51% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085N0700X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Neuroradiology Physician providers in Pennsylvania

There are 104 neuroradiology physician records in Pennsylvania.

The 8 neuroradiology physician records with the nearest ZIP codes

  1. Marlene Baumann, M.D.Danville, PA 178221518123231
  2. Sabrina Browning, MDDanville, PA 178221548399249
  3. James Dent, MDDanville, PA 178221518344654
  4. Dow Emerson, MDDanville, PA 178221417301367
  5. Fraydoon Esfahani, M.D.Danville, PA 178221609843119
  6. Zachary Gardner, MDDanville, PA 178221144884206
  7. Thu-Thao Ly, D.O.Danville, PA 178221518384510
  8. Andres Moreno De Luca, M.D.Danville, PA 178221306114061

Common questions

What is Gino Mongelluzzo, M.D.'s NPI number?

Gino Mongelluzzo, M.D.'s National Provider Identifier (NPI) is 1417278698, issued on Jun 22, 2010. An NPI identifies a provider in billing; it is not a license.

Where is Gino Mongelluzzo, M.D. located?

The NPPES record lists a practice address at 100 North Academy Avenue, Danville, PA, 17822. Phone: (570) 271-6301. Providers update this record themselves, so call before visiting.

How can I verify Gino Mongelluzzo, M.D.'s license?

NPPES lists Pennsylvania license number MD458500, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.