Individual provider Active NPI

Ronald M Ploucha, DC

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1033117122
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9443 Issued in PA
Practice address
1927 E Carson St
Pittsburgh, PA 15203-1835
Phone
(412) 381-4422
Fax
(412) 381-8503
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9443 PA Primary

Addresses

Primary practice location

1927 E Carson St
Pittsburgh, PA 15203-1835

Mailing address

1927 E Carson St
Pittsburgh, PA 15203-1835
Phone (412) 381-4422

Other identifiers 1

IdentifierTypeStateIssuer
0001012696930001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050606000180 PA Practitioner - Chiropractic 5991756231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1927 E Carson St
Pittsburgh, PA 15203-1835

1927 E Carson St
Pittsburgh, PA 15203-1993
Phone (412) 381-4422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
642WYMDClinical Psychologist
9443PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Chiropractic Clinic Past Accepting new patients
Newman Chiropractic Center Chiropractor Past Accepting new patients
Fox Chapel Chiropractic and Wellness PC Chiropractor PastSince Nov 1, 2017 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033117122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 E CARSON ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152031835",
            "telephone_number": "412-381-4422",
            "fax_number": "412-381-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 E CARSON ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152031835",
            "telephone_number": "412-381-4422",
            "fax_number": "412-381-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOUCHA",
        "first_name": "RONALD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "9443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001012696930001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.