NPIMap

Individual provider Active NPI

John Michael Wisniewski, M.D.

  • Internal Medicine Physician
  • Conemaugh, PA
National Provider Identifier
1154472579
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD042330L Issued in PA
Practice address
340 1St St
Conemaugh, PA 15909-1906
Phone
(814) 535-7721
Fax
(814) 535-2105
NPI assigned
Jan 13, 2007
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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 MD042330L PA Primary

Addresses

Primary practice location

340 1St St
Conemaugh, PA 15909-1906

Mailing address

340 1St St
Conemaugh, PA 15909-1906
Phone (814) 535-7721

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
I20100708000320 PA Practitioner - Family PracticePractitioner - Internal Medicine 9830220870 Reassigns benefits to 2 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Conemaugh, PA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians
Wisniewski Medical LLCGroup PAC ID 1759828213, 2 clinicians

Practice addresses (Care Compare)

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

340 1St St
Conemaugh, PA 15909-1906
Phone (814) 535-7721

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.5 of 100Reported as group
Quality
65.53
Promoting interoperability
100
Improvement activities
40
Cost
76.15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Somerset Health Services Inc Internal Medicine CurrentSince Apr 1, 2021 Accepting new patients
Somerset Health Services, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Wisniewski Medical LLC Internal Medicine CurrentSince Jul 10, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Johnstown PA Opco LLC Past Accepting new patients

Locations

426 Main St
Berlin, PA 15530
Phone (814) 267-4603

340 1st St
Conemaugh, PA 15909
Phone (814) 535-7721

3 Penn Ctr W
Ste 127
Pittsburgh, PA 15276

600 Somerset Ave
Windber, PA 15963
Phone (814) 467-3000

Interoperability endpoints

  • Direct secure messaging: john.wisniewski@upmcdirect.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 6

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 11

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": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1154472579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 1ST ST",
            "city": "CONEMAUGH",
            "state": "PA",
            "postal_code": "159091906",
            "telephone_number": "814-535-7721",
            "fax_number": "814-535-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 1ST ST",
            "city": "CONEMAUGH",
            "state": "PA",
            "postal_code": "159091906",
            "telephone_number": "814-535-7721",
            "fax_number": "814-535-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNIEWSKI",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD042330L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conemaugh, PA

Sources for this page

Verify at the official NPI Registry.