NPIMap

Organization Active NPI

Excela Health Physician Practices, Inc.

Doing business as Excela Health Urology

  • Urology Physician
  • Latrobe, PA
National Provider Identifier
1235828591
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Doing business as
Excela Health Urology
Independence Health Medical Group Urology
Practice address
911 Ligonier St Ste 104
Latrobe, PA 15650-1805
Phone
(724) 539-9736
Fax
(724) 837-6670
NPI assigned
May 3, 2023
Last updated
Jun 18, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
EXCELA HEALTH HOLDING COMPANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary

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 2

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

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

National Provider Directory
Tax ID family
Excela Health Physician Practices42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

Locations

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1235828591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 INDUSTRIAL PARK RD STE 2400",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017848",
            "telephone_number": "724-454-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 LIGONIER ST STE 104",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501805",
            "telephone_number": "724-539-9736",
            "fax_number": "724-837-6670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "522 W Newton St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156012890",
            "country_code": "US",
            "telephone_number": "724-838-7500",
            "fax_number": "724-837-6670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "532 W Pittsburgh St",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156012239",
            "country_code": "US",
            "telephone_number": "724-832-4000",
            "fax_number": "724-834-4347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXCELA HEALTH PHYSICIAN PRACTICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXCELA HEALTH HOLDING COMPANY",
        "enumeration_date": "2023-05-03",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "VARNEY",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CRED COORD",
        "authorized_official_telephone_number": "724-454-6099"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excela Health Urology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Independence Health Medical Group Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Latrobe, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.