Individual provider Active NPI

Susan L Odonnell, PA-C

  • Physician Assistant
  • Monroeville, PA
National Provider Identifier
1417931981
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA002995L Issued in PA
Practice address
2550 Mosside Blvd
Suite 310
Monroeville, PA 15146-3540
Phone
(412) 856-2440
Fax
(412) 856-4335
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA002995L PA Primary

Addresses

Primary practice location

2550 Mosside Blvd
Suite 310
Monroeville, PA 15146-3540

Mailing address

2550 Mosside Blvd
Suite 310
Monroeville, PA 15146-3540
Phone (412) 856-2440

Other names 1

  • Susan L Love Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080725000110 PA Practitioner - Physician Assistant 1355414210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
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)

1301 Carlisle St
Natrona Heights, PA 15065-1152
Phone (724) 226-7380

2027 Lebanon Church Rd
West Mifflin, PA 15122-2461
Phone (412) 655-6500

4800 Friendship Ave
Pittsburgh, PA 15224-1722

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA002995LPAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Dec 10, 2021 Accepting new patients
Allegheny Clinic CurrentSince Dec 10, 2021 Accepting new patients

Locations

2380 McGinley Rd
Monroeville, PA 15146
Phone (412) 856-2400

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

1307 Federal St
Fl 2
Pittsburgh, PA 15212
Phone (877) 660-9777

2027 Lebanon Church Rd
West Mifflin/Pleasant Hills, PA 15122
Phone (412) 655-8650

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1417931981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 MOSSIDE BLVD",
            "address_2": "SUITE 310",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463540",
            "telephone_number": "412-856-2440",
            "fax_number": "412-856-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 MOSSIDE BLVD",
            "address_2": "SUITE 310",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463540",
            "telephone_number": "412-856-2440",
            "fax_number": "412-856-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODONNELL",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA002995L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "LOVE",
            "middle_name": "L",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.