NPIMap

Individual provider Active NPI

Joshua C Sysak, D.O.

  • Nephrology Physician
  • Bridgeville, PA
National Provider Identifier
1346313624
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
OS012440 Issued in PA
Practice address
1597 Washington Pike
Suite a-22
Bridgeville, PA 15017-2894
Phone
(412) 489-6919
Fax
(412) 489-6279
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X OS012440 PA Primary

Addresses

Primary practice location

1597 Washington Pike
Suite a-22
Bridgeville, PA 15017-2894

Mailing address

2242 Darlington Rd
Unit B
Beaver Falls, PA 15010-1329
Phone (724) 384-8392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040826001231 PA Practitioner - NephrologyPractitioner - Internal Medicine 7113992819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Philadelphia College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Teredesai McCann and Associates PCGroup PAC ID 4183601982, 13 clinicians

Practice addresses (Care Compare)

1597 Washington Pike
Suite A22
Bridgeville, PA 15017-2878
Phone (412) 489-6919

Hospital & facility affiliations

  • DaVita Waynesburg Dialysis Dialysis facility, Waynesburg, PA, CCN 392641
  • DaVita Oaks Springs Dialysis Dialysis facility, Washington, PA, CCN 392692
  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228
  • Washington Hospital, the Hospital, Washington, PA, CCN 390042
  • Canonsburg General Hospital Hospital, Canonsburg, PA, CCN 390160
  • Upmc Greene Hospital, Waynesburg, PA, CCN 390150
  • Heritage Valley Sewickley Hospital, Sewickley, PA, CCN 390037

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Teredesai McCann & Associates PC CurrentSince Mar 1, 2020 Accepting new patients
Montefiore Medical Center Nephrology PastSince Nov 10, 2009 Accepting new patients
JRMC Phys Serv Corp PastSince Apr 21, 2012 Accepting new patients

Locations

2242 Darlington Rd
Ste B
Beaver Falls, PA 15010
Phone (724) 384-8392

1597 Washington Pike
Ste A14
Bridgeville, PA 15017
Phone (412) 276-9030

Interoperability endpoints

  • Direct secure messaging: jsysak@tma.medentdirect.com

Organizations & group practices 4

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1346313624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2242 DARLINGTON RD",
            "address_2": "UNIT B",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101329",
            "telephone_number": "724-384-8392",
            "fax_number": "724-384-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1597 WASHINGTON PIKE",
            "address_2": "SUITE A-22",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172894",
            "telephone_number": "412-489-6919",
            "fax_number": "412-489-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYSAK",
        "first_name": "JOSHUA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "OS012440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

Verify at the official NPI Registry.