NPIMap

Individual provider Active NPI

Michael J Pelekanos, MD

  • Obstetrics & Gynecology Physician
  • Monroeville, PA
National Provider Identifier
1013905884
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD025779E Issued in PA
Practice address
2580 Haymaker Rd Ste 201
Monroeville, PA 15146-3500
Phone
(412) 856-7500
Fax
(412) 856-6079
NPI assigned
Oct 6, 2005
Last updated
Aug 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD025779E PA Primary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X MD025779E PA

Addresses

Primary practice location

2580 Haymaker Rd Ste 201
Monroeville, PA 15146-3500

Mailing address

2580 Haymaker Rd Ste 201
Monroeville, PA 15146-3500
Phone (412) 856-7500

Other identifiers 1

IdentifierTypeStateIssuer
001021391MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mpelekanos21102@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031222000899 PA Practitioner - Obstetrics/Gynecology 6305744772 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Perelman School of Med at the University of Pennsylvania, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highlands Hospital and Health CenterGroup PAC ID 2769460757, shared by 4 NPIs, 51 clinicians

Practice addresses (Care Compare)

401 E Murphy Ave
Connellsville, PA 15425-2724
Phone (724) 628-1500

700 Park St
Connellsville, PA 15425-2744
Phone (724) 628-1500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mon-Vale Specialty Practices, Inc CurrentSince Apr 1, 2023 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Jan 1, 2014 Accepting new patients
Allegheny Clinic CurrentSince Jan 1, 2014 Accepting new patients
Mon-Vale Specialty Practices, Inc Obstetrics & Gynecology CurrentSince Apr 1, 2023 Accepting new patients
Highlands Hospital and Health Center Obstetrics & Gynecology CurrentSince Jan 24, 2013 Accepting new patients
Highlands Hospital and Health Center CurrentSince Jun 1, 2022 Accepting new patients
Highlands Hospital and Health Center CurrentSince Jan 24, 2013 Accepting new patients
Lowry Radiology Associates, Inc PastSince Mar 1, 2004 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
West Penn Allegheny Health System Inc. Past Accepting new patients
Highlands Hospital and Health Center Past Accepting new patients

Locations

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

700 Park St
Ste 6
Connellsville, PA 15425
Phone (724) 603-2671

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

1163 Country Club Rd
Ste 101
Monongahela, PA 15063
Phone (724) 258-2229

2580 Haymaker Rd
Ste 201
Monroeville, PA 15146
Phone (412) 856-6079

4815 Liberty Ave
Ste 154
Pittsburgh, PA 15224
Phone (412) 578-4003

800 Plaza Dr
Ste 180
Rostraver Township, PA 15012
Phone (724) 258-2229

Interoperability endpoints

  • Direct secure messaging: michael.pelekanos.1@14821.direct.athenahealth.com
  • Direct secure messaging: mpelekanos21102@direct.ahn.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1013905884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 HAYMAKER RD STE 201",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463500",
            "telephone_number": "412-856-7500",
            "fax_number": "412-856-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 HAYMAKER RD STE 201",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463500",
            "telephone_number": "412-856-7500",
            "fax_number": "412-856-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELEKANOS",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD025779E",
            "primary": true
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "PA",
            "license": "MD025779E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001021391",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpelekanos21102@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2580 Haymaker Rd Ste 201",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151463500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.