Individual provider Active NPI

Adolfo G Bagnarello, MD

  • Internal Medicine Physician
  • Saxonburg, PA
National Provider Identifier
1386641280
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2847A Issued in WY
Practice address
176 Glade Mill Rd
Saxonburg, PA 16056-9764
Phone
(724) 496-2699
NPI assigned
Jul 7, 2005
Last updated
May 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2847A WY Primary

Addresses

Primary practice location

176 Glade Mill Rd
Saxonburg, PA 16056-9764

Mailing address

176 Glade Mill Rd
Saxonburg, PA 16056-9764
Phone (724) 496-2699

Other identifiers 1

IdentifierTypeStateIssuer
116941600MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130531000248 TX Practitioner - Internal Medicine 5395873723 Reassigns benefits to 1 organization
I20140723000222 PA Practitioner - Internal MedicinePractitioner - Infectious Disease 5395873723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Clinic, Inc.Group PAC ID 5294772463, 5 clinicians

Practice addresses (Care Compare)

943 4TH Ave
New Kensington, PA 15068-6409
Phone (724) 335-3334

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Feb 10, 2013 Accepting new patients
Community Health Clinic, Inc. CurrentSince Dec 1, 2015 Accepting new patients
DHHS, PHS, Naihs, Gallup Indian Medical Center CurrentSince Feb 10, 2013 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Community Health Clinic, Inc. PastSince Dec 1, 2015 Accepting new patients

Locations

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

943 4th Ave
New Kensington, PA 15068
Phone (724) 335-3334

179 Columbia Ave
Vandergrift, PA 15690
Phone (412) 567-5671

Interoperability endpoints

  • Direct secure messaging: adolfo.bagnarello@direct.commhealthclinic.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1386641280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 GLADE MILL RD",
            "city": "SAXONBURG",
            "state": "PA",
            "postal_code": "160569764",
            "telephone_number": "724-496-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 GLADE MILL RD",
            "city": "SAXONBURG",
            "state": "PA",
            "postal_code": "160569764",
            "telephone_number": "724-496-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGNARELLO",
        "first_name": "ADOLFO",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "2847A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116941600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saxonburg, PA

Sources for this page

Verify at the official NPI Registry.