Individual provider Active NPI

Kellie Michele Egidi, PA

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1316987662
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA002530L Issued in PA
Practice address
717 Washington Rd
Pittsburgh, PA 15228-2001
Phone
(412) 341-7887
Fax
(412) 341-1479
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA002530L PA Primary

Addresses

Primary practice location

717 Washington Rd
Pittsburgh, PA 15228-2001

Mailing address

1000 Bower Hill Rd
Attn St Clair Hospital - Affiliate Billing - Pamalyn
Pittsburgh, PA 15243-1873
Phone (412) 942-2674

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Pamalyn.Patnesky@stclair.org Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121008000535 PA Practitioner - Physician Assistant 3173772175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Clair Medical Services IncGroup PAC ID 4183511553, 203 clinicians

Practice addresses (Care Compare)

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873

2000 Oxford Dr
Bethel Park, PA 15102-1841

Hospital & facility affiliations

  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Medical Services Inc CurrentSince Jan 1, 2012 Accepting new patients
Fayette Physician Network Inc Internal Medicine CurrentSince Dec 1, 2018 Accepting new patients
Fayette Physician Network Inc CurrentSince Dec 1, 2018 Accepting new patients
St Clair Medical Services, Inc. CurrentSince Jan 1, 2012 Accepting new patients
St Clair Medical Services Inc Past Accepting new patients

Locations

2000 Oxford Dr
Ste 302
Bethel Park, PA 15102
Phone (412) 854-5491

3928 Washington Rd
Ste 280
McMurray, PA 15317
Phone (724) 731-0090

717 Washington Rd
Pittsburgh, PA 15228
Phone (412) 341-7887

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

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

Interoperability endpoints

  • Direct secure messaging: kellieegidi@sch.allscriptsdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1316987662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL RD",
            "address_2": "ATTN ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-942-2674",
            "fax_number": "412-942-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 WASHINGTON RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152282001",
            "telephone_number": "412-341-7887",
            "fax_number": "412-341-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGIDI",
        "first_name": "KELLIE",
        "middle_name": "MICHELE",
        "name_prefix": "Prof.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MA002530L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "717 Washington Rd",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152282001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.