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

Ellen Marie Didimamoff, MD

Individual provider Family Medicine Physician · NPI 1578551248

Ellen Marie Didimamoff, MD is a Family Practice in Wind Gap, Pennsylvania. Graduated from Rutgers New Jersey Medical School in 2001, 25 years ago. Practices with St Lukes Physician Group Inc, a 2,127-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
25
Trained at
Rutgers New Jersey Medical School
Licensed in
PA
In the registry since
2005
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

497 Bushkill Plaza Ln
Wind Gap, PA 18091-9665
Phone: (610) 863-7020
Fax: (610) 863-5504
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD423610 (PA)

Record details

NPI number1578551248
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 7, 2005
Last updated in NPPESOctober 13, 2014

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2001 (25 years in practice)
Group practice St Lukes Physician Group Inc — 2127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Wind Gap