Individual provider Active NPI

Anthony J Kirby, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Bentleyville, PA
National Provider Identifier
1104969708
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MD436381 Issued in PA
Practice address
55 Gosai Dr
Bentleyville, PA 15314-1061
Phone
(412) 226-6399
Fax
(412) 226-6399
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD436381 PA Primary

Addresses

Primary practice location

55 Gosai Dr
Bentleyville, PA 15314-1061

Mailing address

55 Gosai Dr Ste 112
Bentleyville, PA 15314-1061
Phone (412) 226-6399

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
I20090710000272 PA Practitioner - Physical Medicine and Rehabilitation 9739231473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Medical College of Ohio, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

55 Gosai Dr
Suite 112
Bentleyville, PA 15314-1061
Phone (412) 226-6399

Hospital & facility affiliations

  • Penn Highlands Mon Valley Hospital, Monongahela, PA, CCN 390147
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265
  • Uniontown Hospital Hospital, Uniontown, PA, CCN 390041

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kirby Pain Management and Rehabilitation Pain Medicine CurrentSince Jun 1, 2019 Accepting new patients

Locations

55 Gosai Dr
Bentleyville, PA 15314
Phone (412) 226-6399

55 Gosai Dr
Ste 112
Bentleyville, PA 15314
Phone (412) 226-6399

Interoperability endpoints

  • Direct secure messaging: anthony.kirby@3376.securemail.prognocis.com

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 10

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1104969708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 GOSAI DR STE 112",
            "city": "BENTLEYVILLE",
            "state": "PA",
            "postal_code": "153141061",
            "telephone_number": "412-226-6399",
            "fax_number": "724-239-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 GOSAI DR",
            "city": "BENTLEYVILLE",
            "state": "PA",
            "postal_code": "153141061",
            "telephone_number": "412-226-6399",
            "fax_number": "412-226-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "MD436381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentleyville, PA

Sources for this page

Verify at the official NPI Registry.