Excela Health Physician Practices, Inc.

Organization Active NPI Urology Physician · Latrobe, PA

NPI 1235828591 · NPPES record last updated Jun 18, 2026

Key facts

NPI
1235828591
Entity type
Organization (NPI type 2)
Primary specialty
Urology Physician 208800000X
Legal business name
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Practice address
911 Ligonier St Ste 104
Latrobe, PA 15650-1805
Phone
(724) 539-9736
Fax
(724) 837-6670
NPI assigned
May 3, 2023
Organization subpart
Yes
Parent organization (as reported)
EXCELA HEALTH HOLDING COMPANY

Authorized official

Name
Renee M Varney
Title
Cred Coord
Phone
(724) 454-6099

Corporate family (same tax ID) 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040322001393 PA Part B Supplier - Clinic/Group Practice 6204737117 Receives reassigned benefits from 767 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Excela Health Connellsville Internal Med-Dr Tiberio (42 organizations share this tax ID)

Locations

6521 State Route 22
Delmont, PA 15626
Phone (724) 468-8764

522 W Newton St
Ste 300
Greensburg, PA 15601
Phone (724) 838-7500

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208800000X Yes

Addresses

Primary practice location

911 Ligonier St Ste 104
Latrobe, PA 15650-1805

Mailing address

134 Industrial Park Rd Ste 2400
Greensburg, PA 15601-7848
Phone (724) 454-6099

Other practice location 1

522 W Newton St Ste 300
Greensburg, PA 15601-2890
Phone (724) 838-7500

Other practice location 2

532 W Pittsburgh St
Greensburg, PA 15601-2239
Phone (724) 832-4000

Other names

  • Excela Health Urology Doing business as
  • Independence Health Medical Group Urology Doing business as

Other providers in Latrobe, PA

All providers in Latrobe, PA · Urology Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.