NPIMap

Organization Active NPI

Somerset Health Services Inc

Doing business as Somerset Pulmonary Medicine

  • Pulmonary Disease Physician
  • Somerset, PA
National Provider Identifier
1205164647
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
SOMERSET HEALTH SERVICES INC
Doing business as
Somerset Pulmonary Medicine
Practice address
126 E Church St Ste 3100
Somerset, PA 15501-2274
Phone
(814) 443-1908
Fax
(814) 443-9908
NPI assigned
Nov 23, 2009
Last updated
Apr 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Authorized official

Name
Mr. Andrew G Rush
Title
President
Phone
(814) 443-5221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

126 E Church St Ste 3100
Somerset, PA 15501-2274

Mailing address

PO Box 645900
Pittsburgh, PA 15264-5900
Phone (814) 443-5040

Other identifiers 4

IdentifierTypeStateIssuer
710929OtherPAMEDICARE
CI6140OtherPARAILROAD MEDICARE
0015083500030MedicaidPA
002498582OtherPAHIGHMARK BLUE SHIELD

Other names 1

  • Somerset Pulmonary Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041102000021 PA Part B Supplier - Clinic/Group Practice 2668434614 Receives reassigned benefits from 81 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Somerset, PA; Windber, PA; Johnstown, PA; Hollsopple, PA; Greensburg, PA; Conemaugh, PA; Berlin, PA

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Somerset Health Services Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1205164647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645900",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152645900",
            "telephone_number": "814-443-5040",
            "fax_number": "814-443-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E CHURCH ST STE 3100",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012274",
            "telephone_number": "814-443-1908",
            "fax_number": "814-443-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "RUSH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-443-5221",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "710929",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI6140",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015083500030",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK  BLUE SHIELD",
            "identifier": "002498582",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Somerset Pulmonary Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.