Organization Active NPI

Ospta Home, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Rostraver Township, PA
National Provider Identifier
1316757040
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
OSPTA HOME, LLC
Practice address
4325 State Route 51
Rostraver Township, PA 15012-3535
Phone
(724) 483-4859
Fax
(724) 798-8367
NPI assigned
Jan 14, 2025
Organization subpart
Yes
Parent organization
OSPTA HOME, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Jennifer Lee Popelas
Title
Billing Manager
Phone
(724) 565-5804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0002X Primary

Addresses

Primary practice location

4325 State Route 51
Rostraver Township, PA 15012-3535

Mailing address

4325 State Route 51
Rostraver Township, PA 15012-3535
Phone (724) 483-4859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250410003560 PA Part B Supplier - Clinic/Group Practice 8325959059 Receives reassigned benefits from 2 practitioners
Practice locations: Rostraver Township, PA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Ospta Home LLC2 organizations share this tax ID, including this one
Part of
Ospta Home LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1316757040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 STATE ROUTE 51",
            "city": "ROSTRAVER TOWNSHIP",
            "state": "PA",
            "postal_code": "150123535",
            "telephone_number": "724-483-4859",
            "fax_number": "724-798-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 STATE ROUTE 51",
            "city": "ROSTRAVER TOWNSHIP",
            "state": "PA",
            "postal_code": "150123535",
            "telephone_number": "724-483-4859",
            "fax_number": "724-798-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSPTA HOME, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OSPTA HOME, LLC",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "POPELAS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "724-565-5804"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rostraver Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.