Individual provider Active NPI

Sam D Verdi, PA-C

  • Physician Assistant
  • Seneca, PA
National Provider Identifier
1346240397
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA001129L Issued in PA
Practice address
100 Fairfield Dr
Seneca, PA 16346-2130
Phone
(814) 676-7932
Fax
(814) 676-7975
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA001129L PA Primary

Addresses

Primary practice location

100 Fairfield Dr
Seneca, PA 16346-2130

Mailing address

333 State St Ste 103
Erie, PA 16507-1450
Phone (814) 877-7157

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
I20080320000044 PA Practitioner - Physician Assistant 7012093875 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahn Hospitalist Group LTDGroup PAC ID 1153543251, 69 clinicians

Practice addresses (Care Compare)

2501 Freeport Rd
Pittsburgh, PA 15238-1409
Phone (412) 550-5550

3290 Saw Mill Run Blvd
Pittsburgh, PA 15227-2318
Phone (412) 359-3252

835 Hospital Rd
Indiana, PA 15701-3629
Phone (724) 357-7121

8950 Duncan Ave
Pittsburgh, PA 15237-5803
Phone (412) 359-3252

Hospital & facility affiliations

  • Ahn Emerus Westmoreland, LLC Hospital, Greensburg, PA, CCN 390333

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Sep 4, 2017 Accepting new patients
Allegheny Clinic Past Accepting new patients
Ahn Emerus Westmoreland LLC Past Accepting new patients
Ahn Emerus Westmoreland LLC Past Accepting new patients
Oakland Neurosurgical Associates Past Accepting new patients

Locations

1211 Wilmington Ave
New Castle, PA 16105
Phone (724) 656-4082

200 Lothrop St
Ste B400
Pittsburgh, PA 15213
Phone (412) 647-3685

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

100 Fairfield Dr
Seneca, PA 16346
Phone (814) 676-7600

Organizations & group practices 9

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 4

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1346240397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 STATE ST STE 103",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071450",
            "telephone_number": "814-877-7157",
            "fax_number": "814-877-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FAIRFIELD DR",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163462130",
            "telephone_number": "814-676-7932",
            "fax_number": "814-676-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDI",
        "first_name": "SAM",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA001129L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, PA

Sources for this page

Verify at the official NPI Registry.