NPIMap

Individual provider Active NPI

Dana Alice Defelice I, MPAS, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1215465422
Registry record updated Jun 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA058924 Issued in PA
Practice address
6301 Forbes Ave
Pittsburgh, PA 15217-1725
Phone
(412) 422-5970
NPI assigned
Jun 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X MA058924 PA Primary

Addresses

Primary practice location

6301 Forbes Ave
Pittsburgh, PA 15217-1725

Mailing address

300 Holmes PL
Pittsburgh, PA 15213-4538
Phone (724) 689-9422

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
I20180321000592 PA Practitioner - Physician Assistant 5294097770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excela Health Physician Practices, IncGroup PAC ID 6204737117, 474 clinicians

Practice addresses (Care Compare)

1 Mellon Way
Latrobe, PA 15650-1197

100 Excela Health Dr
Latrobe, PA 15650-1197

508 S Church St
Mount Pleasant, PA 15666-1702

508 S Church St (Frick Hospital Ca
Excela Health Obstetrics and Gynecology
Mount Pleasant, PA 15666-1702
Phone (724) 539-8581

532 W Pittsburgh St
Greensburg, PA 15601-2239

Hospital & facility affiliations

  • Excela Health Latrobe Hospital Hospital, Latrobe, PA, CCN 390219
  • Excela Health - Frick Hospital Hospital, Mount Pleasant, PA, CCN 390217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine Inc Single Specialty CurrentSince Feb 12, 2018 Accepting new patients
Excela Health Physician Practices Inc CurrentSince May 1, 2019 Accepting new patients
Upmc Community Medcine Inc CurrentSince Feb 12, 2018 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince May 1, 2019 Accepting new patients
Excela Health Physician Practices, Inc Single Specialty Past Accepting new patients

Locations

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

443 Frye Farm Rd
Ste 100
Greensburg, PA 15601
Phone (724) 537-7100

100 Excela Health Dr
Ste 203B
Latrobe, PA 15650
Phone (724) 532-0866

6301 Forbes Ave
Pittsburgh, PA 15217
Phone (412) 206-1112

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

Interoperability endpoints

  • Direct secure messaging: danadefelice@emg.allscriptsdirect.net

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 9

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": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496275200000",
    "number": "1215465422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HOLMES PL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152134538",
            "telephone_number": "724-689-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 FORBES AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171725",
            "telephone_number": "412-422-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFELICE",
        "first_name": "DANA",
        "middle_name": "ALICE",
        "name_suffix": "I",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.