NPIMap

Individual provider Active NPI

Kevin Michael Bartolomucci, D.O.

  • Family Medicine Physician
  • Greensburg, PA
National Provider Identifier
1255699369
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS016713 Issued in PA
Practice address
120 Village Dr
Greensburg, PA 15601-3787
Phone
(724) 420-5928
Fax
(724) 219-3120
NPI assigned
Apr 26, 2012
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS016713 PA Primary

Addresses

Primary practice location

120 Village Dr
Greensburg, PA 15601-3787

Mailing address

120 Village Dr
Greensburg, PA 15601-3787
Phone (724) 420-5928

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbartolomucci@bartolomuccifm.medentdirect.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
I20150609000823 PA Practitioner - Family Practice 6204157738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bartolomucci Family Medicine PLLCGroup PAC ID 3577962968, 3 clinicians

Practice addresses (Care Compare)

120 Village Dr
Greensburg, PA 15601-3787
Phone (724) 420-5928

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS016713PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bartolomucci Family Medicine PLLC CurrentSince Apr 1, 2021 Accepting new patients
Latrobe Area Hospital, Inc. Family Medicine Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients

Locations

120 Village Dr
Greensburg, PA 15601
Phone (724) 420-5928

Interoperability endpoints

  • Direct secure messaging: kbartolomucci@bartolomuccifm.medentdirect.com

Organizations & group practices 5

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1255699369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 VILLAGE DR",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156013787",
            "telephone_number": "724-420-5928",
            "fax_number": "724-219-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 VILLAGE DR",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156013787",
            "telephone_number": "724-420-5928",
            "fax_number": "724-219-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLOMUCCI",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-26",
        "last_updated": "2024-10-18",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS016713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbartolomucci@bartolomuccifm.medentdirect.com",
            "affiliation": "N",
            "endpointDescription": "Bartolomucci Family Medicine",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "120 Village Dr",
            "city": "Greensburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156013787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.