NPIMap

Individual provider Active NPI

Charles Patrick Gennaula, M.D.

  • Specialist
  • Belle Vernon, PA
National Provider Identifier
1013914746
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD050096L Issued in PA
Practice address
100 Peasant Village LN
Suite 100
Belle Vernon, PA 15012-4333
Phone
(724) 929-7800
Fax
(724) 929-3229
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD050096L PA Primary

Addresses

Primary practice location

100 Peasant Village LN
Suite 100
Belle Vernon, PA 15012-4333

Mailing address

315 Stettler Dr
Jefferson Hills, PA 15025-3164
Phone (412) 287-0699

Other identifiers 3

IdentifierTypeStateIssuer
0018903290004MedicaidPA
0015218170004MedicaidPA
0018903290001MedicaidPA

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
I20040416000550 PA Practitioner - Neurology 4486649761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Pittsburgh School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charles P Gennaula MD PCGroup PAC ID 8729062302, 2 clinicians

Practice addresses (Care Compare)

100 Peasant Village LN
Suite 100
Rostraver Township, PA 15012-4333
Phone (724) 929-7800

Hospital & facility affiliations

  • Penn Highlands Mon Valley Hospital, Monongahela, PA, CCN 390147
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265
  • Uniontown Hospital Hospital, Uniontown, PA, CCN 390041
  • Excela Health - Frick Hospital Hospital, Mount Pleasant, PA, CCN 390217
  • Upmc Presbyterian Shadyside Hospital, Pittsburgh, PA, CCN 390164

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD050096LPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles P. Gennaula, M.D., P.C. CurrentSince Mar 2, 2004 Accepting new patients
Jefferson Regional Medical Center Past Accepting new patients
Lowry Radiology Associates, Inc PastSince Mar 1, 2004 Accepting new patients

Locations

1200 Brooks Ln
Ste 120
Jefferson Hills, PA 15025
Phone (412) 384-9005

100 Peasant Village Ln
Rostraver Township, PA 15012
Phone (724) 929-1600

100 Peasant Village Ln
Ste 100
Rostraver Township, PA 15012
Phone (724) 929-7800

Organizations & group practices 3

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

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1013914746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 STETTLER DR",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253164",
            "telephone_number": "412-287-0699",
            "fax_number": "724-929-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PEASANT VILLAGE LN",
            "address_2": "SUITE 100",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150124333",
            "telephone_number": "724-929-7800",
            "fax_number": "724-929-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENNAULA",
        "first_name": "CHARLES",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD050096L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018903290004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015218170004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018903290001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Vernon, PA

Sources for this page

Verify at the official NPI Registry.