Individual provider Active NPI

Ian M Condon, MD

  • Anesthesiology Physician
  • Portsmouth, VA
National Provider Identifier
1073795837
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101249073 Issued in VA
Practice address
3200 Tyre Neck Rd
Suite 101
Portsmouth, VA 23703-3329
Phone
(757) 399-7451
Fax
(757) 399-1158
NPI assigned
Dec 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101249073 VA Primary

Addresses

Primary practice location

3200 Tyre Neck Rd
Suite 101
Portsmouth, VA 23703-3329

Mailing address

320 E North Ave
Pittsburgh, PA 15212-4756
Phone (757) 399-7451

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
I20210706002371 PA Practitioner - Anesthesiology 1850579939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Pennsylvania State University College of Medicine, 2007
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)

320 E N Ave
FL 2
Pittsburgh, PA 15212-4756
Phone (412) 359-6581

Hospital & facility affiliations

  • Ahn Wexford Hospital Hospital, Wexford, PA, CCN 390334

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 Medicine

State licenses

LicenseStateTypeSpecialty
0101249073VAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Apr 1, 2021 Accepting new patients
Allegheny Clinic Anesthesiology CurrentSince Apr 1, 2021 Accepting new patients

Locations

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

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

320 E North Ave
Fl 2
Pittsburgh, PA 15212
Phone (412) 359-3751

Interoperability endpoints

  • Direct secure messaging: icondon363529@direct.ahn.org

Organizations & group practices 3

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 1

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": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1073795837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "757-399-7451",
            "fax_number": "757-399-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 TYRE NECK RD",
            "address_2": "SUITE 101",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033329",
            "telephone_number": "757-399-7451",
            "fax_number": "757-399-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDON",
        "first_name": "IAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101249073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.