DR. ISHA MARINA DI BARTOLO (MD) – Internal Medicine Physician, NPI 1205298940

DR. ISHA MARINA DI BARTOLO (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MT210552 (PA). The NPI Number for DR. ISHA MARINA DI BARTOLO (MD) is 1205298940

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. ISHA MARINA DI BARTOLO (MD)
NPI
1205298940
Phone
(215) 662-2200
Address
3400 Spruce St
Enumeration Date
22 March 2016
Last Update Date
6 September 2019

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8565467990
Graduation Year
2016 (10 years ago)
PAC ID
1355670738
Group Practice PAC ID
4284530197
Professional Enrollment ID
I20190910002767
Address ID
NJ080351709HA504XXPIKE400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:10State licenses:2Digital endpointsOther names

9,967 INTERNAL MEDICINE in PA

Provider Addresses for DR. ISHA MARINA DI BARTOLO (MD)

  • 3400 Spruce St

    Philadelphia, PA 191044238

    Phone: (215) 662-2200

    Type: Location

  • 200, Federal Street, Cooper-Grant, Camden, Camden County, New Jersey, 08103, United States

    CAMDEN, NJ 081031088

    Phone: (856) 356-4924

    Type: Mailing

  • Harrison Avenue, Blackwood, Gloucester Township, Camden County, New Jersey, 08012, United States

    CAMDEN, NJ 08105

    Phone: (856) 963-0126

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-09-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190910002767IInternal MedicineNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes7350$0
99214Established patient office or other outpatient visit, 30-39 minutes5544$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3131$0
99442Telephone medical discussion with physician, 11-20 minutes1513$0
G0008Administration of influenza virus vaccine1515$0
View full utilization report →

Insurance plans in this area (ZIP 19104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284530197View full group profile
NameSpecialtyState
-NJ
Internal MedicineNJ
Internal Medicine, Pediatric MedicineMA
Internal MedicinePA
Family PracticeNJ
Internal MedicineNJ
Physician AssistantNJ
Internal MedicinePA
Nurse PractitionerNJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

What federal number belongs to DR. ISHA MARINA DI BARTOLO (MD)?
The federal identifier for DR. ISHA MARINA DI BARTOLO (MD) is NPI 1205298940.
Is DR. ISHA MARINA DI BARTOLO (MD) active in the national directory?
DR. ISHA MARINA DI BARTOLO (MD)'s public NPI profile is in an active state.
Does DR. ISHA MARINA DI BARTOLO (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for DR. ISHA MARINA DI BARTOLO (MD). Clinical services aligned with this taxonomy classification.
Does DR. ISHA MARINA DI BARTOLO (MD) practice in Pennsylvania?
You will see Philadelphia, Pennsylvania on file for DR. ISHA MARINA DI BARTOLO (MD) alongside any extra practice locations.
Is DR. ISHA MARINA DI BARTOLO (MD) a real provider?
This page reflects official NPPES data for NPI 1205298940. Always confirm identity and privileges with the practice and licensing boards.

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