Active NPI
Michael Tanitsky, DO
- Internal Medicine Physician
- Pleasant Gap, PA
National Provider Identifier
1326014580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS003352L
- Practice address
- 550 W College Ave
Pleasant Gap, PA 16823-7401 - Phone
- (814) 359-5620
- Fax
- (814) 359-5629
- NPI assigned
- Feb 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS003352L | PA | Primary |
Addresses
Primary practice location
550 W College Ave
Pleasant Gap, PA 16823-7401
Mailing address
550 W College Ave
Pleasant Gap, PA 16823-7401
Phone (814) 359-5620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006444740005 | Medicaid | PA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101027000259 | PA | Practitioner - Internal Medicine | 1355301417 | Practice locations: Boalsburg, PA; Centre Hall, PA; Milesburg, PA; Pleasant Gap, PA; State College, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
122 Wynnwood Dr
Wynnwood House
Centre Hall, PA 16828-8519
Phone (814) 364-9770
294 Discovery Dr
Boalsburg, PA 16827-2505
Phone (814) 808-6800
550 W College Ave
Pleasant Gap, PA 16823-7401
Phone (814) 359-5620
Hospital & facility affiliations
- Medi Home Health Agency
- Advantage Home Health Services Central
- 365 Hospice LLC
- Pinnacle Hospice, LLC
- Medi Home Hospice
- Adoration Hospice
- Mount Nittany Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS003352L | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Rehabilitation Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Chambersburg, PA
- NPI 1851404701
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- State College, PA
- NPI 1275589566
-
- Community Based Hospice Care Agency
- State College, PA
- NPI 1710178025
Hospice
-
- Home Health Agency
- State College, PA
- NPI 1942312012
-
- Ambulatory Surgical Clinic/Center
- State College, PA
- NPI 1780750620
Hospital
-
- Ambulatory Surgical Clinic/Center
- State College, PA
- NPI 1780752378
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291680000000",
"number": "1326014580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 W COLLEGE AVE",
"city": "PLEASANT GAP",
"state": "PA",
"postal_code": "168237401",
"telephone_number": "814-359-5620",
"fax_number": "814-359-5629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 W COLLEGE AVE",
"city": "PLEASANT GAP",
"state": "PA",
"postal_code": "168237401",
"telephone_number": "814-359-5620",
"fax_number": "814-359-5629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANITSKY",
"first_name": "MICHAEL",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2010-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS003352L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006444740005",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Gap, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.