NPIMap

Individual provider Active NPI

Chad R Shaffer, MD

  • Family Medicine Physician
  • New Bethlehem, PA
National Provider Identifier
1215014501
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD425669 Issued in PA
Practice address
3615 State Route 28 and 66
New Bethlehem, PA 16242-8107
Phone
(814) 275-2264
Fax
(814) 690-7875
NPI assigned
Nov 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD425669 PA Primary

Addresses

Primary practice location

3615 State Route 28 and 66
New Bethlehem, PA 16242-8107

Mailing address

PO Box 579
Kittanning, PA 16201-0579
Phone (724) 543-8164

Other identifiers 3

IdentifierTypeStateIssuer
MD425669OtherPAPA STATE LICENSE NUMBER
1013999380001MedicaidPA
SH1746844OtherPAPA BLUE SHIELD

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
I20050816000756 PA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8022048479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Pennsylvania State University College of Medicine, 2001
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

Practice addresses (Care Compare)

102 S St
New Bethlehem, PA 16242-1238
Phone (814) 275-2264

10261 State Route 85
Kittanning, PA 16201-8165
Phone (724) 783-7124

116 Main St
Leechburg, PA 15656-1333
Phone (724) 845-1211

116 N Main St
Elderton, PA 15736-0615
Phone (724) 354-5258

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

260 S Jefferson St
Armstrong Primary Care Center Kittanning
Kittanning, PA 16201-2422
Phone (724) 543-5919

300 Medical Arts BLDG
Suite 300
Kittanning, PA 16201-7129
Phone (724) 545-1288

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Armstrong County Memorial Hospital CurrentSince Aug 8, 2010 Accepting new patients
Armstrong County Memorial Hospital Current Accepting new patients
Armstrong County Memorial Hospital CurrentSince Aug 8, 2010 Accepting new patients
Larry B. Wingard, M.D. Past Accepting new patients
Armstrong County Memorial Hospital Past Accepting new patients

Locations

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

1 Nolte Dr
Ste 120
Kittanning, PA 16201
Phone (724) 543-8164

116 Main St
Leechburg, PA 15656
Phone (724) 845-1211

102 South St
New Bethlehem, PA 16242
Phone (814) 275-2264

3615 State Route 28 and 66
New Bethlehem, PA 16242
Phone (724) 543-8164

Interoperability endpoints

  • Direct secure messaging: chad.shaffer@1ah.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 17

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Punxsutawney Area Hospital IncPunxsutawney, PA, CCN 390199 Hospital Corporate Officer Jul 1, 2024
Punxsutawney Area Hospital IncPunxsutawney, PA, CCN 39U199 Hospital Corporate Officer Jul 1, 2024
Indiana Regional Medical CenterIndiana, PA, CCN 39S173 Hospital Corporate Director Jul 1, 2024
Indiana Regional Medical CenterIndiana, PA, CCN 39T173 Hospital Corporate Director Jul 1, 2024
Indiana Regional Medical CenterIndiana, PA, CCN 390173 Hospital Corporate Director Jul 1, 2024
Acmh HospitalKittanning, PA, CCN 390163 Hospital Corporate Director Jul 1, 2024
Acmh HospitalKittanning, PA, CCN 395890 Skilled nursing facility Corporate Director Jul 1, 2024
Punxsutawney Home Health CarePunxsutawney, PA, CCN 397096 Home health agency Corporate Director Jul 1, 2024
Armstrong Primary Care Center EldertonElderton, PA, CCN 393992 Rural health clinic Corporate Director Jul 1, 2024
Armstrong Primary Care Center LeechburgLeechburg, PA, CCN 393977 Rural health clinic Corporate Director Jul 1, 2024
Armstrong County Memorial HospitalKittanning, PA, CCN 393415 Rural health clinic Corporate Director Jul 1, 2024
Armstrong County Memorial HospitalNew Bethlehem, PA, CCN 393894 Rural health clinic Corporate Director Jul 1, 2024
Armstrong County Memorial HospitalKittanning, PA, CCN 393428 Rural health clinic Corporate Director Jul 1, 2024
Armstrong Primary Care Center - West HillsKittanning, PA, CCN 393439 Rural health clinic Corporate Director Jul 1, 2024
Irmc Homer City Family MedicineHomer City, PA, CCN 393459 Rural health clinic Corporate Director Jul 1, 2024
Irmc Women's HealthIndiana, PA, CCN 393460 Rural health clinic Corporate Director Jul 1, 2024
Irmc Northern Cambria Primary CareNorthern Cambria, PA, CCN 393461 Rural health clinic Corporate Director Jul 1, 2024

Owned or controlled facilities with NPI records 25

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 25

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 40

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215014501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 579",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162010579",
            "telephone_number": "724-543-8164",
            "fax_number": "724-543-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 STATE ROUTE 28 AND 66",
            "city": "NEW BETHLEHEM",
            "state": "PA",
            "postal_code": "162428107",
            "telephone_number": "814-275-2264",
            "fax_number": "814-690-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "CHAD",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD425669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE LICENSE NUMBER",
            "identifier": "MD425669",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013999380001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "SH1746844",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.