NPIMap

Organization Active NPI

Somerset Health Services Inc

Doing business as Somerset Surgical Services

  • Surgery Physician
  • Somerset, PA
National Provider Identifier
1326209768
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SOMERSET HEALTH SERVICES INC
Doing business as
Somerset Surgical Services
Practice address
126 E Church St
Suite 2100
Somerset, PA 15501-2271
Phone
(814) 443-2100
Fax
(814) 443-2112
NPI assigned
Jun 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Authorized official

Name
Mr. Andrew G Rush
Title
President
Phone
(814) 445-5221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

126 E Church St
Suite 2100
Somerset, PA 15501-2271

Mailing address

PO Box 645900
Pittsburgh, PA 15264-5900
Phone (814) 443-5040

Other identifiers 3

IdentifierTypeStateIssuer
0015083500028MedicaidPA
CI6140OtherPARAILROAD MEDICARE
002047198OtherPAHIGHMARK BLUE SHIELD

Other names 1

  • Somerset Surgical Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041102000021 PA Part B Supplier - Clinic/Group Practice 2668434614 Receives reassigned benefits from 81 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Somerset, PA; Windber, PA; Johnstown, PA; Hollsopple, PA; Greensburg, PA; Conemaugh, PA; Berlin, PA

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

126 E Church St
Ste 230000
Somerset, PA 15501

126 E Church St
Somerset, PA 15501
Phone (814) 445-3330

Practitioners & affiliated clinicians

Practitioners 11

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": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1326209768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645900",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152645900",
            "telephone_number": "814-443-5040",
            "fax_number": "814-443-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E CHURCH ST",
            "address_2": "SUITE 2100",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012271",
            "telephone_number": "814-443-2100",
            "fax_number": "814-443-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "RUSH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-445-5221",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015083500028",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI6140",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "002047198",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Somerset Surgical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.