Individual provider Active NPI

Charles Smith

  • Physician Assistant
  • Mt Pleasant, PA
National Provider Identifier
1063978401
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA060536 Issued in PA
Practice address
828 W Main St
Mt Pleasant, PA 15666-1730
Phone
(724) 547-4441
NPI assigned
Feb 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA060536 PA Primary

Addresses

Primary practice location

828 W Main St
Mt Pleasant, PA 15666-1730

Mailing address

419 Brown Ave
Greensburg, PA 15601-2251
Phone (864) 872-9571

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190626001574 PA Practitioner - Physician Assistant 5092049957 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

8000 Cranberry Springs Dr
Cranberry Township, PA 16066-6687

875 N Hermitage Rd
Hermitage, PA 16148-3278

Hospital & facility affiliations

  • Upmc Passavant Hospital, Pittsburgh, PA, CCN 390107

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA060536PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine Inc CurrentSince Jan 18, 2020 Accepting new patients
Renaissance Family Practice-Upmc,Inc CurrentSince Jan 18, 2020 Accepting new patients
Upmc Community Medcine Inc CurrentSince Jan 18, 2020 Accepting new patients
Upmc Community Medicine Inc Past Accepting new patients

Locations

1300 Oxford Dr
Ste 1A
Bethel Park, PA 15102
Phone (412) 687-5040

8000 Cranberry Springs Dr
#100
Cranberry Twp, PA 16066
Phone (724) 720-3000

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

200 Delafield Rd
Ste 2030
Pittsburgh, PA 15215
Phone (412) 782-2101

9104 Babcock Blvd
Ste 3105
Pittsburgh, PA 15237
Phone (412) 364-1717

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

200 Delafield Rd
Ste 3010
Pittsburgh, PA 15215
Phone (412) 781-1832

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Interoperability endpoints

  • Direct secure messaging: charles.g.smith@upmcdirect.com

Organizations & group practices 7

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 2

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": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1063978401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 BROWN AVE",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012251",
            "telephone_number": "864-872-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 W MAIN ST",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156661730",
            "telephone_number": "724-547-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, PA

Sources for this page

Verify at the official NPI Registry.