NPIMap

Individual provider Active NPI

Elizabeth L. Detschelt, M.D

  • Vascular Surgery Physician
  • Greensburg, PA
National Provider Identifier
1093965329
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD430967 Issued in PA
Practice address
530 South St
Suite 380
Greensburg, PA 15601-2775
Phone
(724) 261-5556
Fax
(724) 837-8984
NPI assigned
Sep 23, 2008
Last updated
Dec 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 259432 NY
Surgery Physician 208600000X 259432 NY
Vascular Surgery Physician 2086S0129X MD430967 PA Primary

Addresses

Primary practice location

530 South St
Suite 380
Greensburg, PA 15601-2775

Mailing address

134 Industrial Park Rd Ste 1500
Greensburg, PA 15601-8153
Phone (724) 850-6933

Other identifiers 1

IdentifierTypeStateIssuer
1030107830001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150519001869 PA Practitioner - Vascular Surgery 8729258645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Pittsburgh School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

530 S St
Greensburg, PA 15601-2775

530 S Street Medical Commons I Su
Excela Health General Surgery
Greensburg, PA 15601-2775
Phone (724) 850-3142

532 W Pittsburgh St
Greensburg, PA 15601-2239

8775 Norwin Ave
North Huntingdon, PA 15642-2718

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)13
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD430967PAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Butler Medical Providers CurrentSince Nov 1, 2023 Accepting new patients
Butler Medical Providers CurrentSince Nov 1, 2023 Accepting new patients
Butler Medical Providers Current Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Westmoreland Regional Hospital Past Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients

Locations

127 Oneida Valley Rd
Ste 202
Butler, PA 16001
Phone (844) 282-4370

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

134 Industrial Park Rd
Ste 1500
Greensburg, PA 15601

530 South St
Ste 380
Greensburg, PA 15601
Phone (724) 261-5556

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

Interoperability endpoints

  • Direct secure messaging: edetschelt@direct.excelahealth.org
  • Direct secure messaging: elizabethdetschelt@emg.allscriptsdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1093965329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 INDUSTRIAL PARK RD STE 1500",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156018153",
            "telephone_number": "724-850-6933",
            "fax_number": "724-522-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SOUTH ST",
            "address_2": "SUITE 380",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012775",
            "telephone_number": "724-261-5556",
            "fax_number": "724-837-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETSCHELT",
        "first_name": "ELIZABETH",
        "middle_name": "L.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "259432",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "259432",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD430967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030107830001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.