Individual provider Active NPI

Michael A Bracalento, PA-C

  • Physician Assistant
  • Carnegie, PA
National Provider Identifier
1194235614
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA059429 Issued in PA
Practice address
2375 Greentree Rd
Carnegie, PA 15106-4203
Phone
(412) 276-2210
Fax
(412) 276-5805
NPI assigned
Oct 11, 2017
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA059429 PA Primary

Addresses

Primary practice location

2375 Greentree Rd
Carnegie, PA 15106-4203

Mailing address

701 Technology Dr Ste 150
Canonsburg, PA 15317-9531
Phone (412) 531-2902

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
I20171204000277 PA Practitioner - Physician Assistant 8022375898 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Phone (412) 942-2582

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.7 of 100Reported as group
Quality
90.46
Promoting interoperability
100
Improvement activities
40
Cost
78.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA059429PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Feb 3, 2019 Accepting new patients
Preferred Primary Care Physicians, Inc. CurrentSince Mar 21, 2022 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 3, 2019 Accepting new patients
St Clair Professional Services Inc CurrentSince Mar 1, 2025 Accepting new patients

Locations

701 Technology Dr
Ste 150
Canonsburg, PA 15317
Phone (412) 531-2902

2375 Greentree Rd
Carnegie, PA 15106
Phone (412) 276-1560

104 E 2nd St
Fl 4
Erie, PA 16507
Phone (814) 877-7072

201 State St
Erie, PA 16550
Phone (814) 877-2137

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

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

3550 Ter St
Pittsburgh, PA 15261
Phone (412) 647-8977

Organizations & group practices 8

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 1

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": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1194235614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TECHNOLOGY DR STE 150",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179531",
            "telephone_number": "412-531-2902",
            "fax_number": "412-531-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 GREENTREE RD",
            "city": "CARNEGIE",
            "state": "PA",
            "postal_code": "151064203",
            "telephone_number": "412-276-2210",
            "fax_number": "412-276-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACALENTO",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-11",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carnegie, PA

Sources for this page

Verify at the official NPI Registry.