Individual provider Active NPI

Marlo H Marcheleovich, D.O.

  • Family Medicine Physician
  • Somerset, PA
National Provider Identifier
1326240409
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS013867 Issued in PA
Practice address
229 S Kimberly Ave
Somerset, PA 15501-2022
Phone
(814) 445-3575
Fax
(814) 445-8039
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS013867 PA Primary

Addresses

Primary practice location

229 S Kimberly Ave
Somerset, PA 15501-2022

Mailing address

329 S Pleasant Ave
Somerset, PA 15501-2262
Phone (814) 445-3575

Other identifiers 1

IdentifierTypeStateIssuer
1021637230001MedicaidPA

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
I20080926000455 PA Practitioner - Family Practice 7416024898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Excela Health Physician Practices, IncGroup PAC ID 6204737117, 474 clinicians

Practice addresses (Care Compare)

601 Michigan Ave
Jeannette, PA 15644-2433
Phone (724) 526-2323

Hospital & facility affiliations

  • Excela Health Home Care & Hospice Home health agency, Greensburg, PA, CCN 397090
  • Allegheny Health Network Healthcare at Home Home H Home health agency, Warrendale, PA, CCN 398069
  • Amedisys Home Health of PA Home health agency, Uniontown, PA, CCN 397139
  • Excela Health Home Care & Hospice Hospice, Greensburg, PA, CCN 391617
  • Excela Health Westmoreland Regional Hospital Hospital, Greensburg, PA, CCN 390145
  • Upmc Somerset Hospital, Somerset, PA, CCN 390039
  • Excela Health Latrobe Hospital Hospital, Latrobe, PA, CCN 390219
  • Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110
  • Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Somerset Health Services, Inc. CurrentSince Jul 7, 2008 Accepting new patients
Excela Health Physician Practices, Inc. Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Somerset Health Services Inc Family Medicine Current Accepting new patients
Somerset Health Services, Inc. CurrentSince Jul 7, 2008 Accepting new patients
Excela Health Physician Practices, Inc. Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients

Locations

426 Main St
Berlin, PA 15530
Phone (814) 267-4603

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

601 Michigan Ave
Jeannette, PA 15644
Phone (724) 523-2323

229 S Kimberly Ave
Somerset, PA 15501
Phone (814) 445-3535

329 S Pleasant Ave
Somerset, PA 15501
Phone (814) 445-3575

Interoperability endpoints

  • Direct secure messaging: marlomarcheleovich@emg.allscriptsdirect.net

Organizations & group practices 8

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 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1326240409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 S PLEASANT AVE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012262",
            "telephone_number": "814-445-3575",
            "fax_number": "814-445-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 S KIMBERLY AVE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012022",
            "telephone_number": "814-445-3575",
            "fax_number": "814-445-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHELEOVICH",
        "first_name": "MARLO",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS013867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021637230001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

Verify at the official NPI Registry.