Individual provider Active NPI

Edward M Neely, MD

  • Family Medicine Physician
  • Moon Township, PA
National Provider Identifier
1265491633
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22191 Issued in SC
Practice address
8702 University Blvd
Moon Township, PA 15108-4209
Phone
(412) 299-3627
Fax
(412) 299-3623
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 22191 SC
Occupational Medicine Physician 2083X0100X 22191 SC
Family Medicine Physician 207Q00000X 22191 SC Primary

Addresses

Primary practice location

8702 University Blvd
Moon Township, PA 15108-4209

Mailing address

8702 University Blvd
Moon Township, PA 15108-4209
Phone (412) 299-3627

Other identifiers 2

IdentifierTypeStateIssuer
221913MedicaidSC
E1569OtherMEDCOST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100505000124 PA Practitioner - Family PracticePractitioner - Emergency Medicine 8921026998 Reassigns benefits to 2 organizations
I20120214000693 WV Practitioner - Family Practice 8921026998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucmg LLCGroup PAC ID 6709398969, 254 clinicians

Practice addresses (Care Compare)

18471 Smock Hwy
Suite 107
Meadville, PA 16335-3610
Phone (814) 333-3627

4655 William Flynn Hwy
Suite 110 Upmc Gohealth Urgent Care
Allison Park, PA 15101-2248
Phone (412) 486-3027

5039 Peach St
Erie, PA 16509-2032
Phone (814) 866-1443

7200 Peach St
Erie, PA 16509-4754
Phone (814) 983-0470

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care, PC - Pennsylvania Emergency Medicine Current Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania Emergency Medicine CurrentSince Apr 1, 2010 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania Emergency Medicine CurrentSince Apr 1, 2010 Accepting new patients
Medexpress Urgent Care PLLC-Morgantown Emergency Medicine Past Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania Emergency Medicine Past Accepting new patients
Medexpress Urgent Care, PC - Monaca Emergency Medicine Past Accepting new patients

Locations

50 Freeport Rd
Ste 500
Aspinwall, PA 15215
Phone (412) 782-3278

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

5126 State Route 30
Ste 300
Greensburg, PA 15601
Phone (724) 836-3027

8702 University Blvd
Moon Twp, PA 15108
Phone (412) 299-3627

1984 Greentree Rd
Pittsburgh, PA 15220
Phone (412) 343-3627

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

3433 William Penn Hwy
Pittsburgh, PA 15235
Phone (412) 825-3627

695 Clairton Blvd
Pleasant Hills, PA 15236
Phone (412) 653-5556

325 McClellandtown Rd
Uniontown, PA 15401
Phone (724) 439-3627

2600 Old Washington Rd
Ste 150
Upper St Clair, PA 15241
Phone (412) 854-3627

460 Washington Rd
Ste 7
Washington, PA 15301
Phone (724) 225-3627

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1265491633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8702 UNIVERSITY BLVD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151084209",
            "telephone_number": "412-299-3627",
            "fax_number": "412-299-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8702 UNIVERSITY BLVD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151084209",
            "telephone_number": "412-299-3627",
            "fax_number": "412-299-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "EDWARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "22191",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "SC",
            "license": "22191",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "22191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221913",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "E1569",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moon Township, PA

Sources for this page

Verify at the official NPI Registry.