Theresa A. Covello, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS010257L Issued in PA

Practice address

223 Cibeque Circle Road
San Carlos, AZ 85550

Phone

(928) 475-7219

Fax

(928) 475-7370

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Emergency Medicine

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ucmg LLCGroup PAC ID 6709398969, 254 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tcovello20603@gohealthupmc.direct-ci.com

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.

• Ucmg LLC

  • Urgent Care Clinic/Center
  • Allison Park, PA
  • NPI 1972300622
  Medicare reassignment Care Compare group NPD
• San Carlos Apache Healthcare Corporation

  • Critical Access Hospital Clinic/Center
  • Peridot, AZ
  • NPI 1265813075

  TX

  Medicare reassignment NPD
• Urgent Care, PC - Pennsylvania

  • Emergency Medicine Physician
  • Pittsburgh, PA
  • NPI 1982839031
  Medicare reassignment NPD
• San Carlos Apache Healthcare Corporation

  • Clinic/Center
  • Bylas, AZ
  • NPI 1417330713
  NPD
• Medexpress Urgent Care, PC - Pennsylvania

  • Urgent Care Clinic/Center
  • Upper St Clair, PA
  • NPI 1134492788

  Family Medicine

  NPD
• Medexpress Urgent Care, PC - Pennsylvania

  • Urgent Care Clinic/Center
  • Saint Clair, PA
  • NPI 1720545320
  NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1407965619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "city": "SAN CARLOS",
            "state": "AZ",
            "postal_code": "855500208",
            "telephone_number": "928-475-7219",
            "fax_number": "928-475-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 CIBEQUE CIRCLE ROAD",
            "city": "SAN CARLOS",
            "state": "AZ",
            "postal_code": "85550",
            "telephone_number": "928-475-7219",
            "fax_number": "928-475-7370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5039 Peach St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165092032",
            "country_code": "US",
            "telephone_number": "814-866-1443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COVELLO",
        "first_name": "THERESA",
        "middle_name": "A.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS010257L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "827321",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda Rose Cain, LMSW
• Wen-Te Ted Chen, D.O.
• Linda C Clark, RN, CDE
• Benjamin Joseph Cloud, PHARM D.
• Benjamin D Cooper, O.D.
• Jordan Clark Davis, PHARM D
• Paul Ray Delgado, RPH
• DHHS IHS Phoenix Area
• DHHS IHS Phoenix Area
• DHHS IHS Phoenix Area

• Family Medicine Physician in San Carlos, AZ
• Providers in San Carlos, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.