Individual provider Active NPI

Albert Kelly Enany II, MD

  • Internal Medicine Physician
  • Connellsville, PA
National Provider Identifier
1073512489
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD025813E Issued in PA
Practice address
208 S Arch St
Connellsville, PA 15425-3519
Phone
(724) 628-3500
Fax
(724) 628-9009
NPI assigned
Jul 18, 2005
Last updated
Nov 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD025813E PA Primary

Addresses

Primary practice location

208 S Arch St
Connellsville, PA 15425-3519

Mailing address

208 S Arch St
Connellsville, PA 15425-3519
Phone (724) 628-3500

Other identifiers 1

IdentifierTypeStateIssuer
0912430MedicaidPA

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
I20080710000532 PA Practitioner - Internal Medicine 5294797858 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD025813EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fayette Physician Network Inc CurrentSince Dec 1, 2018 Accepting new patients
Highlands Hospital and Health Center CurrentSince May 13, 1983 Accepting new patients
Highlands Hospital and Health Center Internal Medicine CurrentSince May 13, 1983 Accepting new patients
Fayette Physician Network Inc CurrentSince Dec 1, 2018 Accepting new patients
Fayette Physician Network Inc Internal Medicine Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

201 N Pittsburgh St
Connellsville, PA 15425
Phone (724) 626-0611

224 Memorial Blvd
Connellsville, PA 15425
Phone (724) 437-7677

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

Interoperability endpoints

  • Direct secure messaging: aenany@direct.excelahealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1073512489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 S ARCH ST",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253519",
            "telephone_number": "724-628-3500",
            "fax_number": "724-628-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S ARCH ST",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253519",
            "telephone_number": "724-628-3500",
            "fax_number": "724-628-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENANY",
        "first_name": "ALBERT",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD025813E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0912430",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

Verify at the official NPI Registry.