Individual provider Active NPI

Toni Sicenica, MD

  • Pulmonary Disease Physician
  • Jefferson Hills, PA
National Provider Identifier
1235123159
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD073848L Issued in PA
Practice address
1200 Brooks LN
Suite 130
Jefferson Hills, PA 15025-3747
Phone
(412) 469-3600
Fax
(412) 469-3630
NPI assigned
Sep 7, 2005
Last updated
Apr 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MD073848L PA Primary

Addresses

Primary practice location

1200 Brooks LN
Suite 130
Jefferson Hills, PA 15025-3747

Mailing address

1019 Summerset Dr
Pittsburgh, PA 15217-2550
Phone (412) 521-7375

Other identifiers 1

IdentifierTypeStateIssuer
001896215MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150425000211 WV Practitioner - Pulmonary Disease 7810961927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

651 Colliers Way
Weirton, WV 26062-5053
Phone (304) 797-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
32.82 of 100Reported as individual
Quality
30
Improvement activities
0
Cost
52.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD073848LPAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsburgh Pulmonary Associates LTD Pulmonary Disease Past Accepting new patients
Integrated Pulmonary Physicians LTD Pulmonary Disease Past Accepting new patients
Prime Medical Group Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1235123159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 SUMMERSET DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172550",
            "telephone_number": "412-521-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROOKS LN",
            "address_2": "SUITE 130",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253747",
            "telephone_number": "412-469-3600",
            "fax_number": "412-469-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICENICA",
        "first_name": "TONI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD073848L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001896215",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Hills, PA

Sources for this page

Verify at the official NPI Registry.