Five Star Medical Services LLC
Organization Active NPI Family Medicine Physician · Ambridge, PA
NPI 1144755000 · NPPES record last updated Aug 27, 2025
Key facts
- NPI
- 1144755000
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS014920 (PA)
- Legal business name
- FIVE STAR MEDICAL SERVICES LLC
- Practice address
- 422 Merchant St
Ambridge, PA 15003-2405 - Phone
- (724) 318-8793
- Fax
- (724) 385-2078
- NPI assigned
- Apr 27, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael A Alexander, D.O.
- Title
- Medical Director/Ceo
- Phone
- (724) 318-8793
Practitioners 3
-
Timothy Ray Peace Jr., MSN, CRNP, FNP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2169690 | Five Star Medical Services | Certificate of waiver | Jul 24, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170624000233 | PA | Part B Supplier - Clinic/Group Practice | 0244508786 |
Receives reassigned benefits from 2 practitioners Practice locations: Ambridge, PA |
National Provider Directory
Locations
422 Merchant St
Ambridge, PA 15003
Phone (724) 318-8793
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | OS014920 | PA | Yes |
Addresses
Primary practice location
422 Merchant St
Ambridge, PA 15003-2405
Mailing address
422 Merchant St
Ambridge, PA 15003-2405
Phone (724) 318-8793
Other providers in Ambridge, PA
- Molly Duffy
- Ryan Paul Durbin
- Economy Volunteer Ambulance Service
- Julia Farquhar
- Meleana Felton
- Jenny V Flanagan
- Hans J Fuchs
- Charon Gist
- Theresa Marie Gnjatovich
- Valerie Terese Grabowski
All providers in Ambridge, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.