Individual provider Active NPI

Nicolette Chiesa, M.D.

  • Internal Medicine Physician
  • Bridgeville, PA
National Provider Identifier
1144292640
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD046526L Issued in PA
Practice address
1168 Washington Pike
Bridgeville, PA 15017-2828
Phone
(412) 257-2050
Fax
(412) 257-1157
NPI assigned
Feb 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD046526L PA Primary

Addresses

Primary practice location

1168 Washington Pike
Bridgeville, PA 15017-2828

Mailing address

701 Technology Dr Ste 150
Canonsburg, PA 15317-9531
Phone (412) 531-2902

Other identifiers 2

IdentifierTypeStateIssuer
0014154490010MedicaidPA
P00248561OtherRAILROAD MEDICARE PTAN

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
I20031229000586 PA Practitioner - Internal Medicine 5496653438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1168 Washington Pike
Bridgeville, PA 15017-2828
Phone (412) 257-2050

2375 Greentree Rd
Carnegie, PA 15106-4203
Phone (412) 276-1560

363 Vanadium Rd
Suite 201
Pittsburgh, PA 15243-1477
Phone (412) 257-2050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD046526LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Primary Care Physicians, Inc. Internal Medicine CurrentSince Jul 1, 2005 Accepting new patients
Preferred Primary Care Physicians, Inc. Internal Medicine CurrentSince Jul 1, 2005 Accepting new patients
Allegheny Medical Practice Network Past Accepting new patients

Locations

1168 Washington Pike
Bridgeville, PA 15017
Phone (412) 257-2050

701 Technology Dr
Ste 150
Canonsburg, PA 15317
Phone (412) 531-2902

102 Broadway St
Carnegie, PA 15106
Phone (412) 279-0320

2375 Greentree Rd
Carnegie, PA 15106
Phone (412) 276-1560

1910 Cochran Rd
Ste 490
Pittsburgh, PA 15220

363 Vanadium Rd
Ste 202
Pittsburgh, PA 15243
Phone (412) 279-9900

300 Fleet St
Ste 100
Pittsburgh, PA 15220
Phone (412) 741-2221

Interoperability endpoints

  • Direct secure messaging: nicolettechiesamd@preferred.medentdirect.com

Organizations & group practices 3

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 6

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1144292640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TECHNOLOGY DR STE 150",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179531",
            "telephone_number": "412-531-2902",
            "fax_number": "412-531-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1168 WASHINGTON PIKE",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172828",
            "telephone_number": "412-257-2050",
            "fax_number": "412-257-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIESA",
        "first_name": "NICOLETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD046526L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014154490010",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00248561",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

Verify at the official NPI Registry.