Organization Active NPI

Ottonello Rheumatology LLC

  • Rheumatology Physician
  • North Versailles, PA
National Provider Identifier
1295914067
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
OTTONELLO RHEUMATOLOGY LLC
Practice address
500 Naysmith Road
North Versailles, PA 15137-2340
Phone
(412) 673-8110
Fax
(412) 673-6223
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Domingo G Ottonello, MD
Title
President
Phone
(412) 673-8110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

500 Naysmith Road
North Versailles, PA 15137-2340

Mailing address

500 Naysmith Road
North Versailles, PA 15137-2340
Phone (412) 673-8110

Other identifiers 1

IdentifierTypeStateIssuer
0018106130002MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1295914067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NAYSMITH ROAD",
            "city": "NORTH VERSAILLES",
            "state": "PA",
            "postal_code": "151372340",
            "telephone_number": "412-673-8110",
            "fax_number": "412-673-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NAYSMITH ROAD",
            "city": "NORTH VERSAILLES",
            "state": "PA",
            "postal_code": "151372340",
            "telephone_number": "412-673-8110",
            "fax_number": "412-673-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTONELLO RHEUMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "OTTONELLO",
        "authorized_official_first_name": "DOMINGO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-673-8110",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018106130002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Versailles, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.