NPIMap

Individual provider Active NPI

Brett C Perricelli, MD

  • Orthopaedic Surgery Physician
  • Bethel Park, PA
National Provider Identifier
1144422825
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD427369 Issued in PA
Practice address
2000 Oxford Dr
Suite 211
Bethel Park, PA 15102-1827
Phone
(412) 429-0880
Fax
(412) 429-1622
NPI assigned
Jun 4, 2007
Last updated
Jan 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MD427369 PA
Orthopaedic Surgery Physician 207X00000X 2010-00635 NC
Orthopaedic Surgery Physician 207X00000X MD427369 PA Primary

Addresses

Primary practice location

2000 Oxford Dr
Suite 211
Bethel Park, PA 15102-1827

Mailing address

363 Vanadium Road
Suite 103
Pittsburgh, PA 15243-1497
Phone (412) 283-0260

Other identifiers 2

IdentifierTypeStateIssuer
5914289MedicaidNC
NC1099MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110826000146 PA Practitioner - Orthopedic Surgery 2062541501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Pittsburgh School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Hills Orthopaedic Surgery Associates, PCGroup PAC ID 8921045774, 22 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians

Practice addresses (Care Compare)

2000 Oxford Dr
Bethel Park, PA 15102-1898
Phone (412) 283-0260

2000 Oxford Dr
Suite 211
Bethel Park, PA 15102-1827

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement83
Knee replacement128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010-00635NCMDOrthopaedic Surgery Physician
MD427369PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Hills Orthopaedic Surgery Associates, PC Orthopaedic Surgery CurrentSince Aug 1, 2011 Accepting new patients
South Hills Orthopaedic Surgery Associates, PC CurrentSince Aug 1, 2011 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

2000 Oxford Dr
Ste 211
Bethel Park, PA 15102
Phone (412) 283-0260

363 Vanadium Rd
Ste 103
Pittsburgh, PA 15243

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Clair HospitalPittsburgh, PA, CCN 390228 Hospital Corporate Director Nov 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1144422825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 VANADIUM ROAD",
            "address_2": "SUITE 103",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431497",
            "telephone_number": "412-283-0260",
            "fax_number": "412-283-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DR",
            "address_2": "SUITE 211",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021827",
            "telephone_number": "412-429-0880",
            "fax_number": "412-429-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRICELLI",
        "first_name": "BRETT",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MD427369",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2010-00635",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD427369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914289",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC1099",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.