Individual provider Active NPI

Anthony R Ulizio, MD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Pittsburgh, PA
National Provider Identifier
1275590309
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
MD026590E Issued in PA
Practice address
100 Delafield Rd Ste 207
Pittsburgh, PA 15215-3247
Phone
(412) 224-8330
NPI assigned
May 1, 2006
Reactivated
Oct 26, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X MD026590E PA Primary

Addresses

Primary practice location

100 Delafield Rd Ste 207
Pittsburgh, PA 15215-3247

Mailing address

PO Box 126
4746 William Flynn Hwy
Allison Park, PA 15101-9998

Other identifiers 1

IdentifierTypeStateIssuer
1028777MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD026590EPAMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1275590309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "address_2": "4746 WILLIAM FLYNN HWY",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151019998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DELAFIELD RD STE 207",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152153247",
            "telephone_number": "412-224-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULIZIO",
        "first_name": "ANTHONY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "deactivation_date": "2021-03-15",
        "reactivation_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "PA",
            "license": "MD026590E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028777",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.