Individual provider Active NPI

Nicholas Dylan Wiemer, DO

  • Rheumatology Physician
  • Pittsburgh, PA
National Provider Identifier
1073019519
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
OS023035 Issued in PA
Practice address
200 Quinn Dr Ste 210
Pittsburgh, PA 15275-1055
Phone
(412) 294-1277
Fax
(412) 294-1273
NPI assigned
Apr 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X OS023035 PA Primary

Addresses

Primary practice location

200 Quinn Dr Ste 210
Pittsburgh, PA 15275-1055

Mailing address

200 Quinn Dr Ste 210
Pittsburgh, PA 15275-1055
Phone (412) 294-1277

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
I20230831000039 PA Practitioner - RheumatologyPractitioner - Internal Medicine 3274871777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

575 Coal Valley Rd
Suite 573
Jefferson Hills, PA 15025-3729
Phone (412) 578-1112

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
OS023035PAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Aug 1, 2023 Accepting new patients
Allegheny Clinic Rheumatology CurrentSince Aug 1, 2023 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

575 Coal Valley Rd
Ste 573
Jefferson Hills, PA 15025
Phone (412) 469-3300

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

200 Quinn Dr
Ste 210
Pittsburgh, PA 15275
Phone (412) 294-1277

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

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 and National Provider Directory roles.

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1073019519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 QUINN DR STE 210",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152751055",
            "telephone_number": "412-294-1277",
            "fax_number": "412-294-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 QUINN DR STE 210",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152751055",
            "telephone_number": "412-294-1277",
            "fax_number": "412-294-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEMER",
        "first_name": "NICHOLAS",
        "middle_name": "DYLAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "OS023035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.