Active NPI
Daphne P Bicket, MD
- Family Medicine Physician
- Pittsburgh, PA
National Provider Identifier
1194788083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD058307-L
- Practice address
- 301 Meade St
Pittsburgh, PA 15221-2131 - Phone
- (412) 436-1298
- NPI assigned
- Apr 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD058307L | PA | |
| Family Medicine Physician | 207Q00000X | MD058307L | PA | |
| Family Medicine Physician | 207Q00000X | MD058307-L | PA | Primary |
Addresses
Primary practice location
301 Meade St
Pittsburgh, PA 15221-2131
Mailing address
2400 Ardmore Blvd. Ste 700
Pittsburgh Care Partnership Inc.
PGH, PA 15221
Phone (412) 436-1341
Other practice location 1
2347 5th Ave
McKeesport, PA 15132-1126
Phone (412) 673-2150
Other practice location 2
4201 Walnut St. Ste #1
Community LIFE McKeesport
McKeesport, PA 15132
Phone (412) 664-1448
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DPAO1613955 | Medicaid | PA | |
| 161395500 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CommunityLifeEastEnd@upmcdirect.com |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200610001280 | PA | Order and Referring Only - Family Practice | 6103838644 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD058307L | PA | MD | Specialist |
| MD058307-L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orndoff Podiatry, P.C. | Past | Accepting new patients | |
| Pittsburgh Care Partnership, Inc. | Past | Accepting new patients | |
| Upmc McKeesport | Past | Accepting new patients |
Interoperability endpoints
- communitylife@upmcdirect.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Podiatrist
- New Stanton, PA
- NPI 1144651555
-
- PACE Provider Organization
- McKeesport, PA
- NPI 1437205952
-
- General Acute Care Hospital
- McKeesport, PA
- NPI 1194734798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1194788083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 ARDMORE BLVD. STE 700",
"address_2": "PITTSBURGH CARE PARTNERSHIP INC.",
"city": "PGH",
"state": "PA",
"postal_code": "15221",
"telephone_number": "412-436-1341",
"fax_number": "412-436-1322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MEADE ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152212131",
"telephone_number": "412-436-1298"
}
],
"practiceLocations": [
{
"address_1": "2347 5th Ave",
"address_purpose": "LOCATION",
"city": "McKeesport",
"state": "PA",
"postal_code": "151321126",
"country_code": "US",
"telephone_number": "412-673-2150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4201 Walnut St. Ste #1",
"address_2": "Community LIFE McKeesport",
"address_purpose": "LOCATION",
"city": "McKeesport",
"state": "PA",
"postal_code": "15132",
"country_code": "US",
"telephone_number": "412-664-1448",
"fax_number": "412-675-3126",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BICKET",
"first_name": "DAPHNE",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD058307L",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD058307L",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD058307-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DPAO1613955",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161395500",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "CommunityLifeEastEnd@upmcdirect.com",
"affiliation": "N",
"endpointDescription": "Community LIFE Center Direct Address",
"address_1": "301 Meade St",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152212131",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.