NPIMap

Individual provider Active NPI

Tiffany Kelly Helman, MD

  • Family Medicine Physician
  • Jennerstown, PA
National Provider Identifier
1346497377
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD440560 Issued in PA
Practice address
1611 West Pitt Street
Jennerstown, PA 15547
Phone
(814) 629-5647
Fax
(814) 629-5273
NPI assigned
Aug 21, 2008
Last updated
Jan 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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 MD440560 PA Primary

Addresses

Primary practice location

1611 West Pitt Street
Jennerstown, PA 15547

Mailing address

1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 410-8300

Other identifiers 1

IdentifierTypeStateIssuer
1026091900001MedicaidPA

Other names 1

  • Miss Tiffany Brock Kelly Former name

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
I20110811000278 PA Practitioner - Family Practice 6406025238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walworth Medical AssociatesGroup PAC ID 3173544707, 4 clinicians

Practice addresses (Care Compare)

1275 S Main St
Suite 102
Greensburg, PA 15601-5385
Phone (724) 837-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD440560PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Walworth Medical Associates CurrentSince Sep 14, 2023 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1275 S Main St
Ste 102
Greensburg, PA 15601
Phone (724) 837-1244

Interoperability endpoints

  • Direct secure messaging: thelman@direct.excelahealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1346497377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-410-8300",
            "fax_number": "814-410-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 WEST PITT STREET",
            "city": "JENNERSTOWN",
            "state": "PA",
            "postal_code": "15547",
            "telephone_number": "814-629-5647",
            "fax_number": "814-629-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELMAN",
        "first_name": "TIFFANY",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD440560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026091900001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "KELLY",
            "middle_name": "BROCK",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jennerstown, PA

Sources for this page

Verify at the official NPI Registry.