Individual provider Active NPI

George James Antalis, MD

  • Interventional Cardiology Physician
  • Leetsdald, PA
National Provider Identifier
1013938877
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD057974L Issued in PA
Practice address
QV Shopping Center
Suite 2a Ohio River Blvd
Leetsdald, PA 15056
Phone
(724) 773-4502
Fax
(412) 749-6787
NPI assigned
Jul 21, 2006
Last updated
Sep 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD05794L PA
Interventional Cardiology Physician 207RI0011X MD057974L PA Primary

Addresses

Primary practice location

QV Shopping Center
Suite 2a Ohio River Blvd
Leetsdald, PA 15056

Mailing address

12 QV Shopping Center, Ste 2a
Ohio River Blvd
Leetsdale, PA 15056
Phone (724) 773-4502

Other identifiers 1

IdentifierTypeStateIssuer
0017024830001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050603000435 PA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4880637586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Ohio State University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 773-6403

12 Quaker Village Shopping Ctr
Suite 2a
Leetsdale, PA 15056-1206
Phone (412) 741-2700

2201 Park Manor Blvd
Pittsburgh, PA 15205-4819

500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751

605 Sharon Rd
Beaver, PA 15009-1919
Phone (888) 844-8346

720 Blackburn Rd
Sewickley, PA 15143-1459
Phone (412) 749-7127

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD05794LPAMDCardiovascular Disease Physician
MD057974LPAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc CurrentSince Oct 1, 2011 Accepting new patients
Heritage Valley Multispecialty Group, Inc. CurrentSince Oct 1, 2011 Accepting new patients
Heritage Valley Multispecialty Group, Inc. Cardiovascular Disease Current Accepting new patients
Heritage Valley Medical Group, Inc. Cardiovascular Disease Past Accepting new patients
Valley Medical Facilities, Inc. Past Accepting new patients

Locations

99 Buss Rd
Aliquippa, PA 15001
Phone (724) 378-6640

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

12 Quaker Village Shopping Ctr
Leetsdale, PA 15056
Phone (724) 773-4502

993 Brodhead Rd
Moon Twp, PA 15108
Phone (412) 264-1918

701 Broad St
Fl 4
Sewickley, PA 15143
Phone (412) 741-2700

Interoperability endpoints

  • Direct secure messaging: georgeantalis@hvhs.allscriptsdirect.net

Organizations & group practices 5

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1013938877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 QV SHOPPING CENTER, STE 2A",
            "address_2": "OHIO RIVER BLVD",
            "city": "LEETSDALE",
            "state": "PA",
            "postal_code": "15056",
            "telephone_number": "724-773-4502",
            "fax_number": "412-749-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "QV SHOPPING CENTER",
            "address_2": "SUITE 2A OHIO RIVER BLVD",
            "city": "LEETSDALD",
            "state": "PA",
            "postal_code": "15056",
            "telephone_number": "724-773-4502",
            "fax_number": "412-749-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTALIS",
        "first_name": "GEORGE",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD05794L",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD057974L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017024830001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.