Paul M Willis, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD070567L Issued in PA

Practice address

27 Heckel Rd
Suite 213
MC Kees Rocks, PA 15136-1616

Phone

(412) 771-2266

Fax

(412) 771-2443

NPI assigned

Aug 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Specialty

General Surgery

Education

University of Pittsburgh School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Catalane Surgical Associates PCGroup PAC ID 6204858293, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concordia Visiting Nurses Home health agency, Cabot, PA, CCN 397717
• St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Catalane Surgical Associates, PC

  • Surgery Physician
  • MC Kees Rocks, PA
  • NPI 1144301888
  Medicare reassignment Care Compare group NPD
• Georgevich & Associates LLC

  • Vascular Surgery Physician
  • MC Kees Rocks, PA
  • NPI 1588715643
  NPD (past)

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

• Concordia Visiting Nurses

  • Home Health Agency
  • Cabot, PA
  • NPI 1669474847
  Care Compare affiliation
• St Clair Memorial Hospital

  • General Acute Care Hospital
  • Pittsburgh, PA
  • NPI 1073587119
  Care Compare affiliation

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1104835180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240",
            "city": "INGOMAR",
            "state": "PA",
            "postal_code": "151270240",
            "telephone_number": "412-771-2266",
            "fax_number": "412-771-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 HECKEL RD",
            "address_2": "SUITE 213",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361616",
            "telephone_number": "412-771-2266",
            "fax_number": "412-771-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD070567L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018020950001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "359754",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE SHIELD",
            "identifier": "0109675000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1512196",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00267349",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Weisser, PHARMD
• Claudia J Wendel, OD
• Brandon J Wentzel, D.C.
• West Hills Medical Providers, Inc.
• Darryl T Wiley, BA
• Jessica J Wilson, ARNP
• Wonderly Chiropractic LLC
• Britney Wood
• Lois A Woods
• Robert F Yellenik, M.D.

• Specialist in MC Kees Rocks, PA
• Providers in MC Kees Rocks, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.