John Michael Wisniewski, M.D.
Individual provider Active NPI Internal Medicine Physician · Conemaugh, PA
NPI 1154472579 · NPPES record last updated Jun 12, 2024
Key facts
- NPI
- 1154472579
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD042330L (PA)
- Practice address
- 340 1St St
Conemaugh, PA 15909-1906 - Phone
- (814) 535-7721
- Fax
- (814) 535-2105
- NPI assigned
- Jan 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Family Practice
- 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 Inc
Wisniewski Medical LLC
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
- Conemaugh Home Health
- Aseracare Hospice
- Windber Hospice
- 1 Laurel Highlands Hospice Care
- Penn Hospice, Inc
- Viaquest Hospice, LLC
- Conemaugh Memorial Medical Center
- Chan Soon- Shiong Medical Center at Windber
- Conemaugh Meyersdale Medical Center
- Upmc Passavant
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.5 of 100
- Quality
- 65.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.15
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100708000320 | PA | Practitioner - Family Practice |
9830220870 |
Reassigns benefits to 2 organizations Receives reassigned benefits from 1 practitioner Practice locations: Conemaugh, PA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD042330L | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somerset Health Services, Inc. | Current |
Accepting new patients | |
| Somerset Health Services Inc | Internal Medicine | Current |
Accepting new patients |
| Wisniewski Medical LLC | Internal Medicine | Current |
Accepting new patients |
| Johnstown PA Opco LLC | Past | Accepting new patients | |
| Windber Hospital, Inc. | 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
- john.wisniewski@upmcdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD042330L | PA | Yes |
Addresses
Primary practice location
340 1St St
Conemaugh, PA 15909-1906
Mailing address
340 1St St
Conemaugh, PA 15909-1906
Phone (814) 535-7721
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1526828 | Other | GATEWAY HEALTHPLAN | |
| 654889 | Other | PA | HIGHMARK BLUE SHIELD |
| 0487180000 | Other | PA | INDENPENDANCE BLUE SHEILD |
| 101310 | Other | UPMC HEALTHPLAN | |
| 327740 | Other | HEALTH AMERICA | |
| 110082629 | Other | RAILROAD MEDICARE | |
| 0012353890004 | Medicaid | PA | |
| 5317328 | Other | AETNA |
Other providers in Conemaugh, PA
- Baker Funeral Chapel and Cremation Services, LLC.
- Conemaugh Vol Fire Company
- Jeanmarie Atienza Koh
- Wisniewski Medical LLC
All providers in Conemaugh, PA · Internal 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 Jun 12, 2024. 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.
- Order and Referring (CMS).
- 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.