Individual provider Active NPI

Heather Mourtacos, DO

  • Anesthesiology Physician
  • Grove City, PA
National Provider Identifier
1063621290
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS013888 Issued in PA
Practice address
631 N Broad Street Ext
Grove City, PA 16127-4603
Phone
(724) 450-7150
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 34.012768CTR OH
Addiction Medicine (Anesthesiology) Physician 207LA0401X OS013888 PA
General Practice Physician 208D00000X 34.012768CTR OH
General Practice Physician 208D00000X OS013888 PA
Anesthesiology Physician 207L00000X OS013888 PA Primary

Addresses

Primary practice location

631 N Broad Street Ext
Grove City, PA 16127-4603

Mailing address

15 Elliot Rd
West Middlesex, PA 16159-2003
Phone (412) 527-8105

Other practice location 1

7128 Warren Sharon Rd
Brookfield, OH 44403-9657
Phone (330) 619-5250

Other practice location 2

2120 Likens Ln Ste 101
Farrell, PA 16121-2304
Phone (412) 527-8105

Other names 1

  • Heather Multari Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070712000021 PA Practitioner - Anesthesiology 9335249952 Reassigns benefits to 1 organization
I20230918002504 OH Practitioner - Addiction MedicinePractitioner - Anesthesiology 9335249952

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Philadelphia College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

631 N Broad St Ext
Allegheny General Anesthesia
Grove City, PA 16127-4603
Phone (724) 450-7119

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS013888PAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
Allegheny Clinic CurrentSince Jan 1, 2022 Accepting new patients
Allegheny Clinic Current Accepting new patients
My Consulting and Management LLC PastSince May 8, 2022 Accepting new patients

Locations

631 N Broad Street Ext
Grove City, PA 16127
Phone (724) 450-7000

1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

Interoperability endpoints

  • Direct secure messaging: hmourtacos451402@direct.ahn.org

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.

Hospital & facility affiliations 4

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1063621290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ELLIOT RD",
            "city": "WEST MIDDLESEX",
            "state": "PA",
            "postal_code": "161592003",
            "telephone_number": "412-527-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 N BROAD STREET EXT",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274603",
            "telephone_number": "724-450-7150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7128 Warren Sharon Rd",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "OH",
            "postal_code": "444039657",
            "country_code": "US",
            "telephone_number": "330-619-5250",
            "fax_number": "330-619-5251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 Likens Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "Farrell",
            "state": "PA",
            "postal_code": "161212304",
            "country_code": "US",
            "telephone_number": "412-527-8105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOURTACOS",
        "first_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "OH",
            "license": "34.012768CTR",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "PA",
            "license": "OS013888",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "34.012768CTR",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "OS013888",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OS013888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "MULTARI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grove City, PA

Sources for this page

Verify at the official NPI Registry.