NPIMap

Individual provider Active NPI

David T Bizousky, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Indiana, PA
National Provider Identifier
1235199910
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
MD034457E Issued in PA
Practice address
120 Irmc Dr
Suite160
Indiana, PA 15701-3674
Phone
(724) 465-2676
Fax
(724) 349-1830
NPI assigned
Mar 25, 2006
Last updated
Sep 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD034457E PA Primary

Addresses

Primary practice location

120 Irmc Dr
Suite160
Indiana, PA 15701-3674

Mailing address

640 Kolter Dr
Indiana, PA 15701-3570
Phone (724) 357-7196

Other identifiers 2

IdentifierTypeStateIssuer
CI1160OtherPARAILROAD MEDICARE
0014636240001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.bizousky@irmc.cernerdirect.com Direct

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
I20110711000264 PA Practitioner - Orthopedic Surgery 2163524927 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Hahneman Medical College of the Pacific, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipg Ortho LLPGroup PAC ID 7517472178, 16 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians

Practice addresses (Care Compare)

120 Irmc Dr
Suite 160
Indiana, PA 15701-3675
Phone (724) 465-2676

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

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement12
Knee replacement29
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Orthopaedic and Sports Medicine PC Sports Medicine CurrentSince Sep 26, 1994 Accepting new patients
Indiana Healthcare Physician Services, Inc CurrentSince Oct 1, 2019 Accepting new patients
Indiana Healthcare Physician Services Inc CurrentSince Oct 1, 2019 Accepting new patients
Cosm Rehab CurrentSince Sep 26, 1994 Accepting new patients
Ipg Ortho LLP Sports Medicine CurrentSince Jul 1, 2025 Accepting new patients
Indiana Ambulatory Surgical Associates, Inc PastSince Nov 7, 2025 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

120 Irmc Dr
Ste 160
Indiana, PA 15701
Phone (724) 357-7068

1265 Wayne Ave
Ste 307
Indiana, PA 15701
Phone (724) 349-3290

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031

374 Theatre Dr
Ste 200
Johnstown, PA 15904

374 Theatre Dr
Ste 2A
Johnstown, PA 15904
Phone (814) 535-6521

374 Theatre Dr
Ste 2B
Johnstown, PA 15904
Phone (814) 535-6521

600 Somerset Ave
Windber, PA 15963
Phone (814) 467-3000

Interoperability endpoints

  • Direct secure messaging: david.bizousky.1@10717.direct.athenahealth.com
  • Direct secure messaging: david.bizousky@irmc.cernerdirect.com
  • FHIR API: https://api.platform.athenahealth.com/10717/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/1031a3cd-9903-4995-baa5-734895a3e2a2/

Organizations & group practices 8

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 10

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": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1235199910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 KOLTER DR",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013570",
            "telephone_number": "724-357-7196",
            "fax_number": "724-357-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 IRMC DR",
            "address_2": "SUITE160",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013674",
            "telephone_number": "724-465-2676",
            "fax_number": "724-349-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIZOUSKY",
        "first_name": "DAVID",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PA",
            "license": "MD034457E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI1160",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014636240001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.bizousky@irmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Millennium Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging",
            "address_1": "120 Irmc Dr",
            "address_2": "Suite160",
            "city": "Indiana",
            "state": "PA",
            "country_code": "US",
            "postal_code": "157013674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.