NPIMap

Organization Active NPI

Somerset Health Services, Inc.

Doing business as Triangle Urology

  • Urology Physician
  • Somerset, PA
National Provider Identifier
1386090025
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD032998E Issued in PA
Legal business name
SOMERSET HEALTH SERVICES, INC.
Doing business as
Triangle Urology
Practice address
223 S Pleasant Ave Ste 402
Somerset, PA 15501-2188
Phone
(814) 443-5639
Fax
(814) 444-6977
NPI assigned
May 12, 2016
Last updated
Apr 15, 2020By the provider in NPPES
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, MBA, MPT
Title
President
Phone
(814) 443-5221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD032998E PA Primary

Addresses

Primary practice location

223 S Pleasant Ave Ste 402
Somerset, PA 15501-2188

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
0015083500033MedicaidPA
003456511OtherPAHIGHMARK BLUE SHIELD
710929OtherPAMEDICARE
CI6140OtherPARAILROAD MEDICARE

Other names 1

  • Triangle Urology 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
Tax ID family
Somerset Health Services Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

126 E Church St
Ste 3100
Somerset, PA 15501
Phone (814) 445-3535

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

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1386090025",
    "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": "223 S PLEASANT AVE STE 402",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012188",
            "telephone_number": "814-443-5639",
            "fax_number": "814-444-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "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": "814-443-5221",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, MPT"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD032998E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015083500033",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "003456511",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "710929",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI6140",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triangle Urology",
            "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.