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Individual provider Active NPI

Corbyn Minich

  • Hospitalist Physician
  • Canonsburg, PA
National Provider Identifier
1427510346
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
OS021932 Issued in PA
Practice address
100 Medical Blvd
Canonsburg, PA 15317-9762
Phone
(412) 359-3030
Fax
(412) 359-3060
NPI assigned
Apr 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS021932 PA
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X OS021932 PA Primary

Addresses

Primary practice location

100 Medical Blvd
Canonsburg, PA 15317-9762

Mailing address

100 Medical Blvd
Canonsburg, PA 15317-9762
Phone (412) 359-3030

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
I20220825000354 PA Practitioner - HospitalistPractitioner - Internal Medicine 7315321338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Lake Erie College of Osteopathic Medicine, Erie, 2019
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)

320 E N Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-3457

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers Current Accepting new patients
Butler Medical Providers CurrentSince Oct 1, 2022 Accepting new patients
Allegheny Clinic Internal Medicine CurrentSince Jul 28, 2022 Accepting new patients
Butler Medical Providers CurrentSince Oct 1, 2022 Accepting new patients
Allegheny Clinic CurrentSince Jul 28, 2022 Accepting new patients
Allegheny Clinic Current Accepting new patients
Jefferson Regional Medical Center Past Accepting new patients
West Penn Allegheny Health System Inc. Past Accepting new patients
West Penn Allegheny Health System Inc Past Accepting new patients

Locations

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

100 Medical Blvd
Canonsburg, PA 15317
Phone (412) 359-4138

565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

97 Delaware Ave
Ste 103
Uniontown, PA 15401
Phone (412) 267-6255

Interoperability endpoints

  • Direct secure messaging: cminich222251@direct.ahn.org

Organizations & group practices 9

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 7

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1427510346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL BLVD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179762",
            "telephone_number": "412-359-3030",
            "fax_number": "412-359-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL BLVD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179762",
            "telephone_number": "412-359-3030",
            "fax_number": "412-359-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINICH",
        "first_name": "CORBYN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS021932",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "OS021932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.