NPIMap

Individual provider Active NPI

Michael Angelo Pezzone, MD

  • Specialist
  • Pittsburgh, PA
National Provider Identifier
1164497699
Registry record updated Oct 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD060508L Issued in PA
Practice address
1515 Locust St Ste 500
Pittsburgh, PA 15219-5131
Phone
(412) 232-8888
Fax
(412) 232-8887
NPI assigned
Feb 20, 2006
Last updated
Oct 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME128692 FL
Specialist 174400000X MD060508L PA Primary

Addresses

Primary practice location

1515 Locust St Ste 500
Pittsburgh, PA 15219-5131

Mailing address

1515 Locust St Ste 500
Pittsburgh, PA 15219-5131
Phone (412) 232-8888

Other identifiers 2

IdentifierTypeStateIssuer
ME128692OtherFLSTATE LICENSE
001812538MedicaidPA

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
I20040826000293 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 2567437353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Pittsburgh School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

200 Lothrop St
Pittsburgh, PA 15213-2536
Phone (412) 647-8287

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy23
Upper gastrointestinal (GI) endoscopy for acid reflux23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD060508LPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jan 1, 2019 Accepting new patients
University of Pittsburgh Physicians Gastroenterology CurrentSince Jan 1, 2019 Accepting new patients
Openloop Healthcare Partners PC Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Washington Physician Services Past Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

425 W 5th St
Fl 1
East Liverpool, OH 43920
Phone (330) 386-5870

1400 Locust St
Pittsburgh, PA 15219
Phone (412) 232-7911

1515 Locust St
Fl 5
Pittsburgh, PA 15219
Phone (412) 232-5616

1515 Locust St
Ste 500
Pittsburgh, PA 15219
Phone (412) 232-8888

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

3471 5th Ave
Ste 900
Pittsburgh, PA 15213
Phone (412) 647-8746

Interoperability endpoints

  • Direct secure messaging: michael.a.pezzone2@upmcdirect.com

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 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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570233600000",
    "number": "1164497699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 LOCUST ST STE 500",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152195131",
            "telephone_number": "412-232-8888",
            "fax_number": "412-232-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 LOCUST ST STE 500",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152195131",
            "telephone_number": "412-232-8888",
            "fax_number": "412-232-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZZONE",
        "first_name": "MICHAEL",
        "middle_name": "ANGELO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2019-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME128692",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD060508L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME128692",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001812538",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.