Individual provider Active NPI

Michael J Dougherty, M.D.

  • Radiation Oncology Physician
  • Washington, PA
National Provider Identifier
1306817564
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD042918L Issued in PA
Practice address
155 Wilson Ave
Dept of Radiation Oncology
Washington, PA 15301-3336
Phone
(724) 223-3788
Fax
(724) 229-2055
NPI assigned
Jan 27, 2006
Last updated
Apr 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD042918L PA Primary

Addresses

Primary practice location

155 Wilson Ave
Dept of Radiation Oncology
Washington, PA 15301-3336

Mailing address

2 Hot Metal St
Quantum One, N431
Pittsburgh, PA 15203-2348
Phone (412) 432-5806

Other identifiers 9

IdentifierTypeStateIssuer
0014377780002MedicaidPA
0014377780020MedicaidPA
0014377780001MedicaidPA
199313OtherPAHIGHMARK BS
0014377780055MedicaidPA
11453237OtherPACAQH
0014377780012MedicaidPA
3810002147MedicaidWV
2586769MedicaidOH

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
I20040414000700 PA Practitioner - Radiation Oncology 0143214825 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Chicago, Pritzker School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1400 Locust St
Pittsburgh, PA 15219-5114
Phone (412) 232-7475

155 Wilson Ave
Washington, PA 15301-3336
Phone (724) 223-3788

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc and the Washington Hospital Cancer Center Radiation Oncology CurrentSince Dec 1, 2006 Accepting new patients
Upmc/HVHS Cancer Center CurrentSince Feb 1, 2004 Accepting new patients
Upmc/St Clair Hospital Cancer Center Radiation Oncology CurrentSince Jan 1, 2026 Accepting new patients
Upmc/HVHS Cancer Center Radiation Oncology CurrentSince Feb 1, 2004 Accepting new patients
Butler Cancer Associates Inc Radiation Oncology CurrentSince Jan 1, 2026 Accepting new patients
Upmc and the Washington Hospital Cancer Center CurrentSince Dec 1, 2006 Accepting new patients

Locations

102 Technology Dr
Ste 110
Butler, PA 16001
Phone (724) 282-6175

1600 Coraopolis Heights Rd
Moon Twp, PA 15108
Phone (412) 269-7062

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

1020 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 502-3920

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1306817564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOT METAL ST",
            "address_2": "QUANTUM ONE, N431",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032348",
            "telephone_number": "412-432-5806",
            "fax_number": "712-432-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WILSON AVE",
            "address_2": "DEPT OF RADIATION ONCOLOGY",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013336",
            "telephone_number": "724-223-3788",
            "fax_number": "724-229-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD042918L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014377780002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014377780020",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014377780001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "199313",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014377780055",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11453237",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014377780012",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002147",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2586769",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.