Individual provider Active NPI

Alison Jean O'Donnell, DO

  • Geriatric Medicine (Internal Medicine) Physician
  • Cranberry Township, PA
National Provider Identifier
1093100356
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
OS019655 Issued in PA
Practice address
20397 Route 19 Ste 330
Cranberry Township, PA 16066-6133
Phone
(724) 772-3300
Fax
(724) 772-3360
NPI assigned
Apr 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS019655 PA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X OS019655 PA Primary

Addresses

Primary practice location

20397 Route 19 Ste 330
Cranberry Township, PA 16066-6133

Mailing address

20397 Route 19 Ste 330
Cranberry Township, PA 16066-6133
Phone (724) 772-3300

Other identifiers 1

IdentifierTypeStateIssuer
103251740MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aodonnell65116@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
I20190411000062 PA Practitioner - Internal Medicine 5294023636 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS019655PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Jan 1, 2020 Accepting new patients

Locations

20397 Route 19
Cranberry Twp, PA 16066
Phone (724) 772-1881

20397 Route 19
Ste 330
Cranberry Twp, PA 16066
Phone (724) 772-3300

20397 Route 19
Ste 330A
Cranberry Twp, PA 16066

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

1099 Ohio River Blvd
Sewickley, PA 15143
Phone (412) 741-5670

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.

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1093100356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20397 ROUTE 19 STE 330",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666133",
            "telephone_number": "724-772-3300",
            "fax_number": "724-772-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20397 ROUTE 19 STE 330",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666133",
            "telephone_number": "724-772-3300",
            "fax_number": "724-772-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "ALISON",
        "middle_name": "JEAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-03",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS019655",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "OS019655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103251740",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aodonnell65116@direct.ahn.org",
            "affiliation": "N",
            "address_1": "20397 Route 19 Ste 330",
            "city": "Cranberry Township",
            "state": "PA",
            "country_code": "US",
            "postal_code": "160666133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

Verify at the official NPI Registry.