Michael D. Dettorre, DO
NPI 1336137439ActiveIndividual· Pediatrics, Pediatric Critical Care Medicine· Hershey, PA
Pediatrics, Pediatric Critical Care Medicine (DO) in Hershey, Pennsylvania, licensed in PA, with an NPI issued in October 2005. Enrolled in Medicare as practitioner - critical care (intensivists).
Overview
| NPI | 1336137439 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Oct 12, 2005 |
| Last updated in NPPES | Dec 21, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Pediatric Critical Care Medicine Primary | 2080P0203X | OS006989L | PA |
| Pediatrics | 208000000X | OS006989L | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Critical Care (Intensivists) (PA) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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