Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Alyssa Marie Piccillo, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1235513763

Dr. Alyssa Marie Piccillo, DPM is a Podiatry in Philadelphia, Pennsylvania. Qualified in 2015, 11 years ago. Practices as a sole proprietor, works from 4 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
11
Licensed in
PA
In the registry since
2015
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

500 Fairmount Ave Fl 1
Philadelphia, PA 19123-2890
Phone: (267) 909-9594
Fax: (267) 367-5559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 163 N Commerce Way, Bethlehem, PA 18017-8933 — (267) 909-9594
  • 443 Mill St, Bristol, PA 19007-4801 — (267) 909-9594
  • 235 N Broad St, Philadelphia, PA 19107-1511 — (215) 568-3510

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence SC006672 (PA)

Record details

NPI number1235513763
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorYes
NPI enumeratedJuly 14, 2015
Last updated in NPPESJune 2, 2022
Certification dateMarch 2, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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