NPIMap

Individual provider Active NPI

Carmen Anthony Petraglia, MD

  • Orthopaedic Surgery of the Spine Physician
  • Bethel Park, PA
National Provider Identifier
1194906065
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
MD451111 Issued in PA
Practice address
2000 Oxford Dr
Suite 211
Bethel Park, PA 15102-1827
Phone
(412) 283-0260
Fax
(412) 283-0070
NPI assigned
Nov 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery of the Spine Physician 207XS0117X MD451111 PA Primary
Orthopaedic Surgery Physician 207X00000X MD451111 PA

Addresses

Primary practice location

2000 Oxford Dr
Suite 211
Bethel Park, PA 15102-1827

Mailing address

2000 Oxford Dr
Suite 211
Bethel Park, PA 15102-1827
Phone (412) 283-0260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140807001594 PA Practitioner - Orthopedic Surgery 6204053663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Temple University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Clair Medical Services IncGroup PAC ID 4183511553, 203 clinicians
South Hills Orthopaedic Surgery Associates, PCGroup PAC ID 8921045774, 22 clinicians

Practice addresses (Care Compare)

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873

2000 Oxford Dr
Suite 211
Bethel Park, PA 15102-1898
Phone (412) 283-0260

Hospital & facility affiliations

  • Concordia Visiting Nurses Home health agency, Cabot, PA, CCN 397717
  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Spinal fusion82
Laminectomy or laminotomy (partial removal of spine bones)33
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD451111PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Hills Orthopaedic Surgery Associates, PC Orthopaedic Surgery CurrentSince Aug 1, 2014 Accepting new patients
South Hills Orthopaedic Surgery Associates, PC CurrentSince Aug 1, 2014 Accepting new patients
St Clair Memorial Hospital Past Accepting new patients

Locations

2000 Oxford Dr
Ste 211
Bethel Park, PA 15102
Phone (412) 283-0260

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1194906065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DR",
            "address_2": "SUITE 211",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021827",
            "telephone_number": "412-283-0260",
            "fax_number": "412-283-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DR",
            "address_2": "SUITE 211",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021827",
            "telephone_number": "412-283-0260",
            "fax_number": "412-283-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRAGLIA",
        "first_name": "CARMEN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "PA",
            "license": "MD451111",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD451111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.