Organization Active NPI

Esposito Medical Associates LTD

  • Family Medicine Physician
  • Mt Pleasant, PA
National Provider Identifier
1386168680
Registry record updated Aug 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ESPOSITO MEDICAL ASSOCIATES LTD
Practice address
599 N Church St Ste 200
Mount Pleasant, PA 15666-1004
Phone
(724) 542-5349
NPI assigned
Jul 28, 2017
Last updated
Aug 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2022

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

Authorized official

Name
Bobbi Jo Darnell
Title
Administrative Assistant
Phone
(724) 603-6200

Specialties & licenses 1

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

Addresses

Primary practice location

599 N Church St Ste 200
Mount Pleasant, PA 15666-1004

Mailing address

599 N Church St Ste 200
Mount Pleasant, PA 15666-1004
Phone (724) 542-5349

Other practice location 1

505 N Pittsburgh St
Connellsville, PA 15425-3220
Phone (724) 603-6200

Other identifiers 2

IdentifierTypeStateIssuer
103441905-0001MedicaidPA
103441905-0002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171017003455 PA Part B Supplier - Clinic/Group Practice 8426324542 Receives reassigned benefits from 5 practitioners
Practice locations: Mount Pleasant, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2139522Esposito Medical Associates599 N Church St - Suite 200, Mount Pleasant, PA 15666Certificate of waiverNov 5, 2027
39D2268446Esposito Medical Associates LTD505 N Pittsburgh St, Connellsville, PA 15425Certificate of waiverSep 12, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659744000000",
    "number": "1386168680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 N CHURCH ST STE 200",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "156661004",
            "telephone_number": "724-542-5349",
            "fax_number": "724-542-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 N CHURCH ST STE 200",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "156661004",
            "telephone_number": "724-542-5349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 N Pittsburgh St",
            "address_purpose": "LOCATION",
            "city": "Connellsville",
            "state": "PA",
            "postal_code": "154253220",
            "country_code": "US",
            "telephone_number": "724-603-6200",
            "fax_number": "724-626-4480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ESPOSITO MEDICAL ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A",
        "authorized_official_last_name": "DARNELL",
        "authorized_official_first_name": "BOBBI",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "724-603-6200"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103441905-0001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103441905-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.