Individual provider Active NPI

Michael J Donesec, PA-C

  • Surgical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1164433983
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA002476L Issued in PA
Practice address
5900 Corporate Drive
Suite 200
Pittsburgh, PA 15237-7004
Phone
(413) 369-4000
Fax
(412) 369-7667
NPI assigned
Aug 10, 2006
Last updated
Apr 29, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA002476L PA Primary

Addresses

Primary practice location

5900 Corporate Drive
Suite 200
Pittsburgh, PA 15237-7004

Mailing address

5900 Corporate Drive
Suite 200
Pittsburgh, PA 15237-7004
Phone (413) 369-4000

Other identifiers 1

IdentifierTypeStateIssuer
001459015OtherPABLUE SHIELD PROVIDER #

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061130000439 PA Practitioner - Physician Assistant 3870591787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

203 High Pointe Dr
Suite 100
Seven Fields, PA 16046-7921
Phone (724) 742-1250

400 Northpointe Cir
Suite 101
Seven Fields, PA 16046-7867
Phone (724) 776-2488

5900 Corporate Dr
Suite 200
Pittsburgh, PA 15237-7005
Phone (412) 369-4000

Merit-based Incentive Payment System (MIPS)

Final score
93.13 of 100Reported as group
Quality
87.5
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA002476LPAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Orthopaedics & Sports Medicine, Inc. CurrentSince Oct 16, 2006 Accepting new patients

Locations

5900 Corporate Dr
Ste 200
Pittsburgh, PA 15237
Phone (412) 369-4000

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1164433983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 CORPORATE DRIVE",
            "address_2": "SUITE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152377004",
            "telephone_number": "413-369-4000",
            "fax_number": "412-369-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 CORPORATE DRIVE",
            "address_2": "SUITE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152377004",
            "telephone_number": "413-369-4000",
            "fax_number": "412-369-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONESEC",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA002476L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "001459015",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.