Individual provider Active NPI

Leo P Bidula, M.D.

  • Rheumatology Physician
  • Monroeville, PA
National Provider Identifier
1225090244
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD024340E Issued in PA
Practice address
2580 Haymaker Rd
Suite 302
Monroeville, PA 15146-3518
Phone
(412) 856-1811
Fax
(412) 856-5871
NPI assigned
Apr 5, 2006
Last updated
Apr 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD024340E PA Primary

Addresses

Primary practice location

2580 Haymaker Rd
Suite 302
Monroeville, PA 15146-3518

Mailing address

2580 Haymaker Rd
Suite 102
Monroeville, PA 15146-3518
Phone (412) 856-9142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD024340EPAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. Past Accepting new patients
Paul J Killian Robert Buckingham Rheumatology PastSince Dec 8, 2003 Accepting new patients
David C. Mittell Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: leo.p.bidula@upmcdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1225090244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 HAYMAKER RD",
            "address_2": "SUITE 102",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463518",
            "telephone_number": "412-856-9142",
            "fax_number": "412-856-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 HAYMAKER RD",
            "address_2": "SUITE 302",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463518",
            "telephone_number": "412-856-1811",
            "fax_number": "412-856-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDULA",
        "first_name": "LEO",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD024340E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.