Active NPI
Michael J Dougherty, M.D.
- Radiation Oncology Physician
- Washington, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD042918L
- 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, 2009
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014377780002 | Medicaid | PA | |
| 0014377780020 | Medicaid | PA | |
| 0014377780001 | Medicaid | PA | |
| 199313 | Other | PA | HIGHMARK BS |
| 0014377780055 | Medicaid | PA | |
| 11453237 | Other | PA | CAQH |
| 0014377780012 | Medicaid | PA | |
| 3810002147 | Medicaid | WV | |
| 2586769 | Medicaid | OH |
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
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc and the Washington Hospital Cancer Center | Radiation Oncology | Current | Accepting new patients |
| Upmc/HVHS Cancer Center | Current | Accepting new patients | |
| Upmc/St Clair Hospital Cancer Center | Radiation Oncology | Current | Accepting new patients |
| Upmc/HVHS Cancer Center | Radiation Oncology | Current | Accepting new patients |
| Butler Cancer Associates Inc | Radiation Oncology | Current | Accepting new patients |
| Upmc and the Washington Hospital Cancer Center | Current | 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.
-
- Radiation Oncology Physician
- Washington, PA
- NPI 1053417527
-
dba UPMC Cancer Centers
- Radiation Oncology Physician
- Pittsburgh, PA
- NPI 1427025840
-
- Radiation Oncology Physician
- Butler, PA
- NPI 1649519778
-
- Radiation Oncology Physician
- Moon Township, PA
- NPI 1609843861
-
- Radiation Oncology Physician
- Pittsburgh, PA
- NPI 1306138169
-
- Radiology Clinic/Center
- Washington, PA
- NPI 1851476717
-
- Mobile Radiology Clinic/Center
- Ellwood City, PA
- NPI 1184210437
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Clair Hospital
- General Acute Care Hospital
- Pittsburgh, PA
- NPI 1073587119
-
- General Acute Care Hospital
- Greenville, PA
- NPI 1225048838
-
- General Acute Care Hospital
- New Castle, PA
- NPI 1477538312
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.