Individual provider Active NPI

Mark Joseph Sangimino, MD

  • Orthopaedic Surgery Physician
  • Wexford, PA
National Provider Identifier
1083615322
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD059006L Issued in PA
Practice address
12620 Perry Hwy # 2
Wexford, PA 15090-8662
Phone
(724) 933-6699
Fax
(412) 359-8055
NPI assigned
Aug 9, 2005
Last updated
Oct 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD059006L PA Primary

Addresses

Primary practice location

12620 Perry Hwy # 2
Wexford, PA 15090-8662

Mailing address

12620 Perry Hwy # 2
Wexford, PA 15090-8662
Phone (724) 933-6699

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msangimino11362@direct.ahn.org

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
I20050706000855 PA Practitioner - Pediatric Medicine 1456397934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Dec 4, 2010 Accepting new patients
Allegheny Clinic Orthopaedic Surgery CurrentSince Dec 4, 2010 Accepting new patients
Allegheny Clinic Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Allegheny Clinic PastSince Oct 4, 2020 Accepting new patients

Locations

490 E North Ave
#50
Pittsburgh, PA 15212
Phone (412) 359-8066

59 Fort Couch Rd
Pittsburgh, PA 15241
Phone (412) 688-7580

1307 Federal St
Fl Second
Pittsburgh, PA 15212
Phone (412) 359-3895

1307 Federal St
Ste 2
Pittsburgh, PA 15212
Phone (412) 330-4461

1307 Federal St
Fl 2
Pittsburgh, PA 15212
Phone (877) 660-9777

2027 Lebanon Church Rd
West Mifflin/Pleasant Hills, PA 15122
Phone (412) 655-8650

12620 Perry Hwy
#2
Wexford, PA 15090
Phone (724) 933-6699

12620 Perry Hwy
Wexford, PA 15090
Phone (724) 816-3583

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, 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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1083615322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12620 PERRY HWY # 2",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908662",
            "telephone_number": "724-933-6699",
            "fax_number": "412-359-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12620 PERRY HWY # 2",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908662",
            "telephone_number": "724-933-6699",
            "fax_number": "412-359-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGIMINO",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD059006L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msangimino11362@direct.ahn.org",
            "affiliation": "N",
            "address_1": "12620 Perry Hwy # 2",
            "city": "Wexford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150908662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.