Individual provider Active NPI

Philip G Georgevich, M.D.

  • Vascular Surgery Physician
  • McKees Rocks, PA
National Provider Identifier
1114980570
Registry record updated Jan 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD027326E Issued in PA
Practice address
27 Heckel Rd
Suite 206
MC Kees Rocks, PA 15136-1616
Phone
(412) 777-4332
Fax
(412) 777-4310
NPI assigned
Apr 7, 2006
Last updated
Jan 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD027326E PA
Vascular Surgery Physician 2086S0129X MD027326E PA Primary
Colon & Rectal Surgery Physician 208C00000X MD027326E PA

Addresses

Primary practice location

27 Heckel Rd
Suite 206
MC Kees Rocks, PA 15136-1616

Mailing address

27 Heckel Rd
Suite 206
MC Kees Rocks, PA 15136-1616
Phone (412) 777-4332

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
I20240501001706 PA Practitioner - General Surgery 2567441595 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Pittsburgh School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Phone (412) 942-2582

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD027326EPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Physician Services CurrentSince May 1, 2024 Accepting new patients
St Clair Professional Services Inc CurrentSince Sep 1, 2025 Accepting new patients
St Clair Professional Services Inc Current Accepting new patients
Catalane Surgical Associates, PC Surgery Past Accepting new patients

Locations

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

95 Leonard Ave
Bldg 2
Washington, PA 15301
Phone (724) 223-3100

Organizations & group practices 4

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 1

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515974400000",
    "number": "1114980570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 HECKEL RD",
            "address_2": "SUITE 206",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361616",
            "telephone_number": "412-777-4332",
            "fax_number": "412-777-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 HECKEL RD",
            "address_2": "SUITE 206",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361616",
            "telephone_number": "412-777-4332",
            "fax_number": "412-777-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGEVICH",
        "first_name": "PHILIP",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2018-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD027326E",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD027326E",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "PA",
            "license": "MD027326E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKees Rocks, PA

Sources for this page

Verify at the official NPI Registry.