Individual provider Active NPI

Nicole Paola Rebollo Rodriguez, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1093181307
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
MD485635 Issued in PA
Practice address
5750 Centre Ave Ste 230
Pittsburgh, PA 15206-3761
Phone
(412) 681-4220
Fax
(412) 681-4396
NPI assigned
Aug 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD485635 PA
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X MD485635 PA Primary

Addresses

Primary practice location

5750 Centre Ave Ste 230
Pittsburgh, PA 15206-3761

Mailing address

5750 Centre Ave Ste 230
Pittsburgh, PA 15206-3761
Phone (412) 681-4220

Other practice location 1

1000 Bower Hill Rd Ste 312
Pittsburgh, PA 15243-1873
Phone (412) 681-4220

Other practice location 2

2566 Haymaker Rd Ste 311
Monroeville, PA 15146-3555
Phone (412) 681-4220

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
I20240812003427 PA Practitioner - Ophthalmology 9931508512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pittsburgh Oculoplastic Associates, LTDGroup PAC ID 3678512035, 6 clinicians

Practice addresses (Care Compare)

5750 Centre Ave
Suite 230
Pittsburgh, PA 15206-3761
Phone (412) 681-4220

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD485635PAMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsburgh Oculoplastic Associates, LTD Ophthalmic Plastic and Reconstructive Surgery CurrentSince Sep 3, 2024 Accepting new patients

Locations

575 Coal Valley Rd
Ste 204
Clairton, PA 15025
Phone (412) 466-2220

2566 Haymaker Rd
Ste 311
Monroeville, PA 15146
Phone (412) 359-6800

1000 Bower Hill Rd
Ste 312
Pittsburgh, PA 15243
Phone (412) 381-1949

5750 Centre Ave
Ste 230
Pittsburgh, PA 15206
Phone (412) 450-1000

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70731
  • Direct secure messaging: nrebollo982426@direct.ahn.org

Organizations & group practices 1

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 7

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": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1093181307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 CENTRE AVE STE 230",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063761",
            "telephone_number": "412-681-4220",
            "fax_number": "412-681-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 CENTRE AVE STE 230",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063761",
            "telephone_number": "412-681-4220",
            "fax_number": "412-681-4396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Bower Hill Rd Ste 312",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152431873",
            "country_code": "US",
            "telephone_number": "412-681-4220",
            "fax_number": "412-681-4396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2566 Haymaker Rd Ste 311",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151463555",
            "country_code": "US",
            "telephone_number": "412-681-4220",
            "fax_number": "412-681-4396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REBOLLO RODRIGUEZ",
        "first_name": "NICOLE",
        "middle_name": "PAOLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD485635",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MD485635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.