Individual provider Active NPI

Thomas Richard Degregory, D.O.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Greensburg, PA
National Provider Identifier
1194721563
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
OS003093L Issued in PA
Practice address
372 Lakewood Rd
Greensburg, PA 15601-9769
Phone
(724) 219-4489
Fax
(724) 832-1385
NPI assigned
Jun 22, 2005
Last updated
Feb 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS003093L PA
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X OS003093L PA Primary

Addresses

Primary practice location

372 Lakewood Rd
Greensburg, PA 15601-9769

Mailing address

506 Athena Dr
Delmont, PA 15626-1005
Phone (724) 468-6869

Other identifiers 1

IdentifierTypeStateIssuer
0008385760004MedicaidPA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101102001009 PA Practitioner - Family PracticePractitioner - Hospice/Palliative Care 2264430701 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS003093LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Convalescent Center Group CurrentSince Jul 27, 1984 Accepting new patients
Westmoreland County Past Accepting new patients
Excela Health Physician Practices, Inc. Family Medicine Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
St. Anne Home Past Accepting new patients

Locations

506 Athena Dr
Delmont, PA 15626

Interoperability endpoints

  • Direct secure messaging: tdegregory@direct.excelahealth.org

Organizations & group practices 5

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1194721563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 ATHENA DR",
            "city": "DELMONT",
            "state": "PA",
            "postal_code": "156261005",
            "telephone_number": "724-468-6869",
            "fax_number": "724-468-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 LAKEWOOD RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156019769",
            "telephone_number": "724-219-4489",
            "fax_number": "724-832-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGREGORY",
        "first_name": "THOMAS",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS003093L",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "PA",
            "license": "OS003093L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008385760004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.