Individual provider Active NPI

Maria Isabella Manoleras

  • Physician Assistant
  • McKeesport, PA
National Provider Identifier
1093443699
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1500 5TH Ave D Level
McKeesport, PA 15132
Phone
(412) 664-2676
NPI assigned
Aug 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1500 5TH Ave D Level
McKeesport, PA 15132

Mailing address

122 Crest Dr
Beaver, PA 15009-9352
Phone (724) 622-0598

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221107000011 PA Practitioner - Physician Assistant 1850768722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hematology Oncology AssociationGroup PAC ID 2860413002, 76 clinicians

Practice addresses (Care Compare)

1500 5TH Ave
McKeesport, PA 15132-2422
Phone (412) 664-2607

200 Village Dr
Greensburg, PA 15601-3783
Phone (724) 838-1900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hematology Oncology Association CurrentSince Sep 19, 2022 Accepting new patients

Locations

200 Village Dr
Greensburg, PA 15601
Phone (412) 469-5500

1500 5th Ave
#D
McKeesport, PA 15132
Phone (412) 664-2607

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

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 4

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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1093443699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CREST DR",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099352",
            "telephone_number": "724-622-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 5TH AVE D LEVEL",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "15132",
            "telephone_number": "412-664-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOLERAS",
        "first_name": "MARIA",
        "middle_name": "ISABELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKeesport, PA

Sources for this page

Verify at the official NPI Registry.