Individual provider Active NPI

Louis G Izzo IV, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Jeannette, PA
National Provider Identifier
1255368429
Registry record updated Oct 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
SC005609 Issued in PA
Practice address
255 S 8TH St
Jeannette, PA 15644-3422
Phone
(724) 523-6700
Fax
(724) 523-2296
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X SC005609 PA Primary

Addresses

Primary practice location

255 S 8TH St
Jeannette, PA 15644-3422

Mailing address

255 S 8TH St
Jeannette, PA 15644-3422
Phone (724) 523-6700

Other practice location 1

155 Mount Pleasant Rd
West Newton, PA 15089-1839
Phone (724) 523-6700

Other practice location 2

4044 Route 130
Irwin, PA 15642-7808
Phone (724) 765-1022

Other identifiers 1

IdentifierTypeStateIssuer
001957849MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lizzo104932@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040325000790 PA Practitioner - Podiatry 4587556634 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

255 S 8TH St
Jeannette, PA 15644-3422
Phone (724) 523-6700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue14
Removal of nail tissue340
Removal or shaving of skin growth41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jul 11, 2017 Accepting new patients
Izzo Foot and Ankle PC Primary Podiatric Medicine CurrentSince Sep 2, 2022 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Jul 11, 2017 Accepting new patients
Allegheny Clinic Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Louis G. Izzo IV Primary Podiatric Medicine Past Accepting new patients

Locations

4044 Route 130
Irwin, PA 15642
Phone (724) 527-6651

255 S 8th St
Jeannette, PA 15644
Phone (724) 523-6700

4815 Liberty Ave
Ste 425
Pittsburgh, PA 15224
Phone (412) 359-4352

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

155 Mount Pleasant Rd
West Newton, PA 15089
Phone (724) 523-6700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFEGDD
  • FHIR API: https://api.platform.athenahealth.com/27546/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lizzo104932@direct.ahn.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JFEGDD/Endpoint/JFEGDD
  • Direct secure messaging: lizzo@direct.excelahealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601683200000",
    "number": "1255368429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S 8TH ST",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156443422",
            "telephone_number": "724-523-6700",
            "fax_number": "724-523-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S 8TH ST",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156443422",
            "telephone_number": "724-523-6700",
            "fax_number": "724-523-2296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Mount Pleasant Rd",
            "address_purpose": "LOCATION",
            "city": "West Newton",
            "state": "PA",
            "postal_code": "150891839",
            "country_code": "US",
            "telephone_number": "724-523-6700",
            "fax_number": "724-523-2296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4044 Route 130",
            "address_purpose": "LOCATION",
            "city": "Irwin",
            "state": "PA",
            "postal_code": "156427808",
            "country_code": "US",
            "telephone_number": "724-765-1022",
            "fax_number": "724-523-2296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IZZO",
        "first_name": "LOUIS",
        "middle_name": "G",
        "name_suffix": "IV",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-10-03",
        "certification_date": "2020-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC005609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001957849",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lizzo104932@direct.ahn.org",
            "affiliation": "N",
            "address_1": "255 S 8th St",
            "city": "Jeannette",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156443422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jeannette, PA

Sources for this page

Verify at the official NPI Registry.