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

Dr. Mauro Antonio Dispagna, MD

Individual provider Urology Physician · NPI 1528642626

Dr. Mauro Antonio Dispagna, MD is an Urology in Philadelphia, Pennsylvania. Qualified in 2021, 5 years ago. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

33 S 9th St Ste 703 Dept OF Urology
Philadelphia, PA 19107-5001
Phone: (215) 955-1000
Fax: (215) 503-2066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MT222952 (PA)

Record details

NPI number1528642626
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 6, 2021
Last updated in NPPESSeptember 29, 2021
Certification dateSeptember 14, 2021

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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