Individual provider Active NPI

Richard A Tiberio Sr., MD

  • Internal Medicine Physician
  • Connellsville, PA
National Provider Identifier
1073570933
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD025861E Issued in PA
Practice address
1064 Morrell Ave
Connellsville, PA 15425-3959
Phone
(724) 603-3496
Fax
(724) 603-3498
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 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 MD025861E PA Primary

Addresses

Primary practice location

1064 Morrell Ave
Connellsville, PA 15425-3959

Mailing address

1064 Morrell Ave
Connellsville, PA 15425-3959
Phone (724) 603-3496

Other identifiers 1

IdentifierTypeStateIssuer
0009124210002MedicaidPA

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
I20071208000086 PA Practitioner - Internal Medicine 1254420656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Pittsburgh School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Gastroenterology Associates of Lancaster, LTD.Group PAC ID 4688575434, 248 clinicians
Highlands Hospital and Health CenterGroup PAC ID 2769460757, 51 clinicians

Practice addresses (Care Compare)

300 Spring Creek LN
Uniontown, PA 15401-9069
Phone (724) 437-7677

401 E Murphy Ave
Connellsville, PA 15425-2724
Phone (724) 628-1500

Hospital & facility affiliations

  • Uniontown Hospital Hospital, Uniontown, PA, CCN 390041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD025861EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Oct 1, 2022 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Oct 1, 2022 Accepting new patients
Highlands Hospital and Health Center Internal Medicine CurrentSince Aug 8, 2010 Accepting new patients
Midatlantic Endoscopy LLC Current Accepting new patients
Highlands Hospital and Health Center CurrentSince Aug 8, 2010 Accepting new patients
James Miller Oppy MD Internal Medicine Past Accepting new patients

Locations

1064 Morrell Ave
Connellsville, PA 15425
Phone (724) 603-3496

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

201 N Pittsburgh St
Ste A
Connellsville, PA 15425
Phone (724) 628-4450

201 N Pittsburgh St
Ste 3A
Connellsville, PA 15425
Phone (724) 628-4450

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

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

300 Spring Creek Ln
Uniontown, PA 15401
Phone (724) 437-7677

Interoperability endpoints

  • Direct secure messaging: richard.tiberio.1@14821.direct.athenahealth.com

Organizations & group practices 6

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 5

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235433600000",
    "number": "1073570933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 MORRELL AVE",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253959",
            "telephone_number": "724-603-3496",
            "fax_number": "724-603-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 MORRELL AVE",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253959",
            "telephone_number": "724-603-3496",
            "fax_number": "724-603-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBERIO",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2009-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD025861E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009124210002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

Verify at the official NPI Registry.