Individual provider Active NPI

Samuel Anthony Valletta, M.D.

  • Interventional Pain Medicine Physician
  • Washington, PA
National Provider Identifier
1417306705
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MD468324 Issued in PA
Practice address
400 Locust Ave
Washington, PA 15301-3397
Phone
(724) 222-9300
Fax
(724) 228-1856
NPI assigned
Jun 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X MD468324 PA Primary
Family Medicine Physician 207Q00000X MD468324 PA

Addresses

Primary practice location

400 Locust Ave
Washington, PA 15301-3397

Mailing address

400 Locust Ave
Washington, PA 15301-3397
Phone (724) 222-9300

Other practice location 1

311 W 24th St Ste 302
Erie, PA 16502-2666
Phone (814) 452-7246

Other identifiers 2

IdentifierTypeStateIssuer
103219547MedicaidPA
14511596OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190822000455 PA Practitioner - Interventional Pain ManagementPractitioner - Family Practice 5496047326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

400 Locust Ave
Washington, PA 15301-3397
Phone (724) 222-9300

Hospital & facility affiliations

  • Canonsburg General Hospital Hospital, Canonsburg, PA, CCN 390160
  • Washington Hospital, the Hospital, Washington, PA, CCN 390042

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD468324PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. Hospitalist CurrentSince Sep 1, 2019 Accepting new patients
Allegheny Clinic CurrentSince Sep 1, 2025 Accepting new patients
Excela Health Physician Practices, Inc. Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Allegheny Clinic Family Medicine Current Accepting new patients
Allegheny Clinic CurrentSince Sep 1, 2025 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207

1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100

101 9th St
Saltsburg, PA 15681
Phone (724) 639-3541

400 Locust Ave
Washington, PA 15301
Phone (724) 222-2577

Interoperability endpoints

  • Direct secure messaging: svalletta910457@direct.ahn.org
  • Direct secure messaging: svalletta@direct.excelahealth.org

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1417306705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LOCUST AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013397",
            "telephone_number": "724-222-9300",
            "fax_number": "724-228-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LOCUST AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013397",
            "telephone_number": "724-222-9300",
            "fax_number": "724-228-1856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 W 24th St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165022666",
            "country_code": "US",
            "telephone_number": "814-452-7246",
            "fax_number": "814-452-7244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLETTA",
        "first_name": "SAMUEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "MD468324",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD468324",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103219547",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14511596",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.