Individual provider Active NPI

Paul A Depippo, M.D.

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
National Provider Identifier
1114939063
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD043938E Issued in PA
Practice address
401 Liberty Ave Ste 2000
Three Gateway Center 20TH Floor
Pittsburgh, PA 15222
Phone
(412) 230-8200
Fax
(412) 202-8638
NPI assigned
Aug 12, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD043938E PA
Diagnostic Radiology Physician 2085R0202X MD043938E PA Primary

Addresses

Primary practice location

401 Liberty Ave Ste 2000
Three Gateway Center 20TH Floor
Pittsburgh, PA 15222

Mailing address

401 Liberty Ave Ste 2000
Three Gateway Center 20TH Floor
Pittsburgh, PA 15222
Phone (412) 230-8200

Other practice location 1

514 Pellis Rd
Suite 200
Greensburg, PA 15601-4593
Phone (724) 832-8004

Other names 1

  • Paul A De Pippo Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IN, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050720000083 PA Practitioner - Diagnostic Radiology 9830126051 Reassigns benefits to 6 organizations
I20230601003226 IN Practitioner - Diagnostic Radiology 9830126051 Reassigns benefits to 1 organization
I20231229000766 OR Practitioner - Diagnostic Radiology 9830126051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albany Medical College of Union University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice Center PCGroup PAC ID 0244124212, 351 clinicians

Practice addresses (Care Compare)

1 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-5889

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD043938EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Center, PC CurrentSince Jan 20, 2023 Accepting new patients
Optumcare New Mexico LLC CurrentSince Jul 2, 2022 Accepting new patients
Family Practice Center, PC Internal Medicine CurrentSince Jan 20, 2023 Accepting new patients
American Health Network of Indiana LLC CurrentSince May 1, 2023 Accepting new patients
Imaging Associates of Greater Pittsburgh Diagnostic Radiology CurrentSince Aug 1, 2011 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Jan 1, 2024 Accepting new patients
Fanno Creek Clinic LLC Internal Medicine CurrentSince Oct 21, 2023 Accepting new patients
Southwest Medical Associates, Inc Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Jan 14, 2024 Accepting new patients
Greater Phoenix Collaborative Care PC Diagnostic Radiology CurrentSince Jan 14, 2024 Accepting new patients
American Health Network of Indiana, LLC Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Jan 1, 2024 Accepting new patients
Lowry Radiology Associates, Inc Diagnostic Radiology PastSince Mar 1, 2004 Accepting new patients
Radiologic Consultants LTD Diagnostic Radiology Past Accepting new patients
Excela RCL Pet CT Imaging LLC Diagnostic Radiology Past Accepting new patients
Southwest Medical Associates Inc. Past Accepting new patients
West Penn Allegheny Health System Inc. Past Accepting new patients
Optumcare Colorado Medical Group, LLC Past Accepting new patients
Radiologic Consultants, LTD Diagnostic Radiology Past Accepting new patients

Locations

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

4101 Technology Ave
New Albany, IN 47150
Phone (812) 941-4500

503 Greenwood Trace Dr
Whiteland, IN 46184
Phone (317) 535-7447

2400 SW Vermont St
Portland, OR 97219
Phone (503) 452-0915

7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123

1163 Country Club Rd
#H
Monongahela, PA 15063
Phone (724) 258-1000

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114939063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 LIBERTY AVE STE 2000",
            "address_2": "THREE GATEWAY CENTER 20TH FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15222",
            "telephone_number": "412-230-8200",
            "fax_number": "412-202-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 LIBERTY AVE STE 2000",
            "address_2": "THREE GATEWAY CENTER 20TH FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15222",
            "telephone_number": "412-230-8200",
            "fax_number": "412-202-8638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "514 Pellis Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156014593",
            "country_code": "US",
            "telephone_number": "724-832-8004",
            "fax_number": "724-837-1870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEPIPPO",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD043938E",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD043938E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "DE PIPPO",
            "middle_name": "A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.