Active NPI
David Alan Bertocchi, MD
- Pediatrics Physician
- Wexford, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD032472E
- Practice address
- 12351 Perry Hwy
Wexford, PA 15090-8344 - Phone
- (412) 325-5649
- Fax
- (412) 278-3320
- NPI assigned
- Jul 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD032472E | PA | |
| Pediatrics Physician | 208000000X | MD032472E | PA | Primary |
Addresses
Primary practice location
12351 Perry Hwy
Wexford, PA 15090-8344
Mailing address
320 E North Ave
Agh Pediatrics
Pittsburgh, PA 15212-4756
Phone (412) 359-3157
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810000933 | Medicaid | WV | |
| 2233470 | Medicaid | OH | |
| 0012610660001 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dbertocchi10607@direct.ahn.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD032472E | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Internal Medicine | Current | Accepting new patients |
| Allegheny Clinic | Internal Medicine | Current | Accepting new patients |
| Allegheny Clinic | Current | Accepting new patients |
Locations
62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765
320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131
4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030
320 E North Ave
#2
Pittsburgh, PA 15212
Phone (412) 359-6147
1307 Federal St
Ste B300
Pittsburgh, PA 15212
Phone (412) 359-3751
12351 Perry Hwy
Wexford, PA 15090
Phone (412) 359-3030
Interoperability endpoints
- dbertocchi10607@direct.ahn.org
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.
-
- Family Medicine Physician
- Bethel Park, PA
- NPI 1073081493
-
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
- Internal Medicine Physician
- Slippery Rock, PA
- NPI 1245621440
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1962795393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1215937131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 E NORTH AVE",
"address_2": "AGH PEDIATRICS",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124756",
"telephone_number": "412-359-3157",
"fax_number": "412-359-3663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12351 PERRY HWY",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150908344",
"telephone_number": "412-325-5649",
"fax_number": "412-278-3320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTOCCHI",
"first_name": "DAVID",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2023-01-26",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD032472E",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD032472E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810000933",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2233470",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012610660001",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dbertocchi10607@direct.ahn.org",
"affiliation": "N",
"address_1": "320 E North Ave",
"address_2": "AGH Pediatrics",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152124756",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.