Individual provider Active NPI

Allan Henry Tissenbaum, MD

  • Orthopaedic Surgery Physician
  • Belle Vernon, PA
National Provider Identifier
1265432298
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD051744L Issued in PA
Practice address
800 Plaza Drive
Suite 400
Belle Vernon, PA 15012
Phone
(724) 379-5816
Fax
(724) 379-5874
NPI assigned
Aug 1, 2005
Last updated
Nov 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD051744L PA Primary

Addresses

Primary practice location

800 Plaza Drive
Suite 400
Belle Vernon, PA 15012

Mailing address

800 Plaza Dr Ste 400
Rostraver TWP, PA 15012-4019
Phone (724) 379-5802

Other identifiers 1

IdentifierTypeStateIssuer
0016061820003MedicaidPA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091028000295 PA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 4688673742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
McGill University Faculty of Dentistry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monvale Orthopedics IncGroup PAC ID 3173518529, 10 clinicians

Practice addresses (Care Compare)

1145 Bower Hill Rd
Suite 301
Pittsburgh, PA 15243-1348
Phone (412) 276-7022

800 Plaza Dr
Suite 400
Rostraver Township, PA 15012-4019
Phone (724) 379-5802

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD051744LPAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mon Vale Orthopedic Group, Inc. Orthopaedic Surgery CurrentSince Dec 1, 2016 Accepting new patients
Monvale Orthopedics, Inc. Orthopaedic Surgery CurrentSince Dec 1, 2016 Accepting new patients
Washington Physician Services Past Accepting new patients

Locations

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

1145 Bower Hill Rd
Ste 301
Pittsburgh, PA 15243
Phone (412) 276-7022

800 Plaza Dr
Ste 240
Rostraver Township, PA 15012
Phone (724) 379-5816

800 Plaza Dr
Ste 400
Rostraver Township, PA 15012
Phone (724) 379-5802

Interoperability endpoints

  • Direct secure messaging: allan.tissenbaum@mvpcpi.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1265432298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PLAZA DR STE 400",
            "city": "ROSTRAVER TWP",
            "state": "PA",
            "postal_code": "150124019",
            "telephone_number": "724-379-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PLAZA DRIVE",
            "address_2": "SUITE 400",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "15012",
            "telephone_number": "724-379-5816",
            "fax_number": "724-379-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISSENBAUM",
        "first_name": "ALLAN",
        "middle_name": "HENRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD051744L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016061820003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Vernon, PA

Sources for this page

Verify at the official NPI Registry.