NPIMap

Individual provider Active NPI

Paul Hartley, M.D.

  • Internal Medicine Physician
  • Uniontown, PA
National Provider Identifier
1417911587
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD041450E Issued in PA
Practice address
202 Jacob Murphy LN Ste 201
Uniontown, PA 15401-2608
Phone
(724) 437-1109
Fax
(724) 437-6199
NPI assigned
Apr 14, 2006
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD-041450E PW
Internal Medicine Physician 207R00000X MD041450E PA Primary

Addresses

Primary practice location

202 Jacob Murphy LN Ste 201
Uniontown, PA 15401-2608

Mailing address

701 Technology Dr Ste 150
Canonsburg, PA 15317-9531
Phone (412) 531-2902

Other identifiers 2

IdentifierTypeStateIssuer
0011227500003MedicaidPA
110205093OtherRAILROAD MEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428001387 PA Practitioner - Internal Medicine 8527055755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Virginia School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2375 Greentree Rd
Carnegie, PA 15106-4203
Phone (412) 276-1560

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-041450EPWMDSpecialist
MD041450EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Primary Care Physicians, Inc. Internal Medicine CurrentSince Jun 9, 1988 Accepting new patients
Preferred Primary Care Physicians, Inc. Internal Medicine Current Accepting new patients
Preferred Primary Care Physicians Specialist CurrentSince Jun 9, 1988 Accepting new patients
Mount Macrina Manor Nursing Home Past Accepting new patients

Locations

701 Technology Dr
Ste 150
Canonsburg, PA 15317
Phone (412) 531-2902

2375 Greentree Rd
Carnegie, PA 15106
Phone (412) 276-1560

1910 Cochran Rd
Ste 490
Pittsburgh, PA 15220

104 Delaware Ave
Ste 240
Uniontown, PA 15401
Phone (724) 437-1109

202 Jacob Murphy Ln
Ste 201
Uniontown, PA 15401
Phone (412) 466-2220

80 Matthew Dr
Ste 2001
Uniontown, PA 15401
Phone (724) 438-1808

Interoperability endpoints

  • Direct secure messaging: paulhartleymd@preferred.medentdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1417911587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TECHNOLOGY DR STE 150",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179531",
            "telephone_number": "412-531-2902",
            "fax_number": "412-279-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 JACOB MURPHY LN STE 201",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012608",
            "telephone_number": "724-437-1109",
            "fax_number": "724-437-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PW",
            "license": "MD-041450E",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD041450E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011227500003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "110205093",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

Verify at the official NPI Registry.