Individual provider Active NPI

Phillip C Dias-Mandoly, M.D.

  • Psychiatry Physician
  • Sewickley, PA
National Provider Identifier
1326152125
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD040982E Issued in PA
Practice address
111 Hazel Lane
Suite 300
Sewickley, PA 15143-1253
Phone
(412) 749-7330
Fax
(412) 749-6763
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD040982E PA Primary

Addresses

Primary practice location

111 Hazel Lane
Suite 300
Sewickley, PA 15143-1253

Mailing address

111 Hazel Lane
Suite 300
Sewickley, PA 15143-1253
Phone (412) 749-7330

Other identifiers 2

IdentifierTypeStateIssuer
01653816MedicaidPA
0016538160002MedicaidPA

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
I20101102000918 PA Practitioner - Psychiatry 3971797010 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Psychiatry CurrentSince Jul 1, 2023 Accepting new patients
Upmc Community Medcine Inc CurrentSince Jan 1, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2023 Accepting new patients
Valley Medical Facilities, Inc. CurrentSince Jul 9, 1990 Accepting new patients
Upmc Community Medicine Inc CurrentSince Jan 1, 2020 Accepting new patients
Valley Medical Facilities, Inc. CurrentSince Jul 9, 1990 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Valley Medical Facilities Inc Past Accepting new patients
Valley Medical Facilities Inc Past Accepting new patients

Locations

200 Ohio River Blvd
Baden, PA 15005

1300 Oxford Dr
Ste 1A
Bethel Park, PA 15102
Phone (412) 687-5040

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

3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

111 Hazel Ln
Ste 300
Sewickley, PA 15143
Phone (412) 749-7330

11279 Perry Hwy
Wexford, PA 15090
Phone (724) 933-1000

11279 Perry Hwy
Ste 450
Wexford, PA 15090

Interoperability endpoints

  • Direct secure messaging: phillipdias-mandoly@hvhs.allscriptsdirect.net

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1326152125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HAZEL LANE",
            "address_2": "SUITE 300",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431253",
            "telephone_number": "412-749-7330",
            "fax_number": "412-749-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HAZEL LANE",
            "address_2": "SUITE 300",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431253",
            "telephone_number": "412-749-7330",
            "fax_number": "412-749-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAS-MANDOLY",
        "first_name": "PHILLIP",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD040982E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01653816",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016538160002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.