Michelle R Sredy, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD053556L Issued in PA

Practice address

1322 Eisenhower Blvd
Johnstown, PA 15904-3307

Phone

(814) 266-8840

Fax

(814) 266-2176

NPI assigned

Aug 14, 2006

Last updated

Mar 18, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: msredy@direct.excelahealth.org
• Direct secure messaging: msredy@pcs.medentdirect.com

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.

• Pediatric Care Specialists

  • Multi-Specialty Clinic/Center
  • Johnstown, PA
  • NPI 1346236833
  Medicare reassignment NPD
• Childrens Community Pediatrics

  • Pediatrics Physician
  • Monroeville, PA
  • NPI 1740244110
  NPD (past)
• DLP Conemaugh Memorial Medical Center LLC

  dba Conemaugh Memorial Medical Center

  • General Acute Care Hospital
  • Johnstown, PA
  • NPI 1801897038
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1174536676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 EISENHOWER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043307",
            "telephone_number": "814-266-8840",
            "fax_number": "814-266-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 EISENHOWER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043307",
            "telephone_number": "814-266-8840",
            "fax_number": "814-266-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SREDY",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD053556L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015334060002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Sposito
• Hannah R Sprincz
• Dawn Springer, CRNP
• Jaclyn N Springer, CRNP
• Rebecca Squillario, CRNA
• Karyssa Sroka
• Matthew R Sroka, D.M.D.
• St Georges Lab LLC
• Alex Lee Stahl, PA-C
• Heather Stahl, PA-C

• Pediatrics Physician in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.