Active NPI
Allan Henry Tissenbaum, MD
- Orthopaedic Surgery Physician
- Belle Vernon, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD051744L
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016061820003 | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- McGill University Faculty of Dentistry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD051744L | PA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mon Vale Orthopedic Group, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| Monvale Orthopedics, Inc. | Orthopaedic Surgery | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Rostraver Township, PA
- NPI 1487677498
-
dba The Orthopedic Group, PC
- Orthopaedic Surgery Physician
- California, PA
- NPI 1255817243
-
dba Washington Health System Physicians Group
- Family Medicine Physician
- Washington, PA
- NPI 1316917669
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.