NPIMap

Individual provider Active NPI

Stanislav S Nosik, MD

  • Colon & Rectal Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1205168341
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
MD447653 Issued in PA
Practice address
320 E North Ave Ste 261
Pittsburgh, PA 15212-4756
Phone
(412) 359-3901
Fax
(412) 359-4514
NPI assigned
Jan 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X MD447653 PA Primary

Addresses

Primary practice location

320 E North Ave Ste 261
Pittsburgh, PA 15212-4756

Mailing address

320 E North Ave Ste 261
Pittsburgh, PA 15212-4756
Phone (412) 359-3901

Other identifiers 2

IdentifierTypeStateIssuer
12482574OtherCAQH
102915766MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address snosik6384@direct.ahn.org

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
I20140812001898 PA Practitioner - Colorectal Surgery (Proctology) 5799922191 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

320 E N Ave
Suite 261
Pittsburgh, PA 15212-4756
Phone (412) 359-3901

Hospital & facility affiliations

  • West Penn Hospital Hospital, Pittsburgh, PA, CCN 390090
  • Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy23
Removal of tissue1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD447653PAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jul 14, 2014 Accepting new patients
Allegheny Clinic Colon & Rectal Surgery CurrentSince Jul 14, 2014 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
West Penn Allegheny Health System Inc Past Accepting new patients

Locations

145 W 23rd St
Ste 201
Erie, PA 16502
Phone (814) 453-2777

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

4815 Liberty Ave
Ste M2
Pittsburgh, PA 15224
Phone (412) 578-1448

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

320 E North Ave
Ste 261
Pittsburgh, PA 15212
Phone (412) 359-3901

Organizations & group practices 7

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 6

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": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1205168341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE STE 261",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-3901",
            "fax_number": "412-359-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE STE 261",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-3901",
            "fax_number": "412-359-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOSIK",
        "first_name": "STANISLAV",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-29",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "PA",
            "license": "MD447653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12482574",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102915766",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "snosik6384@direct.ahn.org",
            "affiliation": "N",
            "address_1": "320 E North Ave Ste 261",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.