Individual provider Active NPI

Gabriella M Shaheen, PAC

  • Physician Assistant
  • Monroeville, PA
National Provider Identifier
1124459854
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601010005 Issued in MI
Practice address
2566 Haymaker Rd Ste 203
Monroeville, PA 15146-3554
Phone
(412) 858-7088
Fax
(412) 858-7016
NPI assigned
Dec 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601010005 MI Primary
Medical Physician Assistant 363AM0700X MA056566 PA

Addresses

Primary practice location

2566 Haymaker Rd Ste 203
Monroeville, PA 15146-3554

Mailing address

627 Butternut Ave
Royal Oak, MI 48073-3201

Other identifiers 1

IdentifierTypeStateIssuer
1031540210001MedicaidPA

Other names 1

  • Gabriella Dognilli Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gdongilli10775@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601010005MIMDPhysician Assistant
MA056566PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gdongilli10775@direct.ahn.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1124459854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 BUTTERNUT AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 HAYMAKER RD STE 203",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463554",
            "telephone_number": "412-858-7088",
            "fax_number": "412-858-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHEEN",
        "first_name": "GABRIELLA",
        "middle_name": "M",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-05",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010005",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056566",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031540210001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gdongilli10775@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2566 Haymaker Rd Ste 203",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151463554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GABRIELLA",
            "last_name": "DOGNILLI",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.