Individual provider Active NPI

Daphne P Bicket, MD

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1194788083
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD058307-L Issued in PA
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

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DPAO1613955MedicaidPA
161395500MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200610001280 PA Order and Referring Only - Family PracticePractitioner - Family Practice 6103838644

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD058307LPAMDSpecialist
MD058307-LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orndoff Podiatry, P.C. PastSince Apr 6, 2021 Accepting new patients
Pittsburgh Care Partnership, Inc. PastSince Apr 6, 2021 Accepting new patients
Upmc McKeesport Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.