Individual provider Active NPI

Carol J Scicutella, D.O.

  • Radiation Oncology Physician
  • Moon Township, PA
National Provider Identifier
1467425074
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
OS006474E Issued in PA
Practice address
1600 Coraopolis Heights Rd
Dept of Radiation Oncology
Moon Township, PA 15108-4316
Phone
(412) 604-2020
Fax
(412) 604-2046
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X OS006474E PA Primary

Addresses

Primary practice location

1600 Coraopolis Heights Rd
Dept of Radiation Oncology
Moon Township, PA 15108-4316

Mailing address

1600 Coraopolis Heights Rd
Dept of Radiation Oncology
Moon Township, PA 15108-4316
Phone (412) 604-2020

Other identifiers 1

IdentifierTypeStateIssuer
001183068MedicaidPA

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
I20040414000441 PA Practitioner - Radiation Oncology 0547254286 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS006474EPAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc and the Washington Hospital Cancer Center CurrentSince Aug 1, 2019 Accepting new patients
Upmc/HVHS Cancer Center Radiation Oncology CurrentSince Feb 1, 2004 Accepting new patients
University of Pittsburgh Cancer Institute Cancer Services CurrentSince Mar 1, 2022 Accepting new patients
University of Pittsburgh Cancer Institute Cancer Services Radiation Oncology CurrentSince Mar 1, 2022 Accepting new patients
Upmc/HVHS Cancer Center CurrentSince Feb 1, 2004 Accepting new patients
Upmc and the Washington Hospital Cancer Center Radiation Oncology CurrentSince Aug 1, 2019 Accepting new patients

Locations

701 5th St
Beaver, PA 15009
Phone (724) 728-2225

22681 Route 68
Clarion, PA 16214
Phone (814) 227-1221

2200 Memorial Dr
Farrell, PA 16121
Phone (724) 981-3500

1600 Coraopolis Heights Rd
Moon Twp, PA 15108
Phone (412) 269-7062

2602 Wilmington Rd
New Castle, PA 16105
Phone (724) 652-5505

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

Organizations & group practices 6

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1467425074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CORAOPOLIS HEIGHTS RD",
            "address_2": "DEPT OF RADIATION ONCOLOGY",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151084316",
            "telephone_number": "412-604-2020",
            "fax_number": "412-604-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CORAOPOLIS HEIGHTS RD",
            "address_2": "DEPT OF RADIATION ONCOLOGY",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151084316",
            "telephone_number": "412-604-2020",
            "fax_number": "412-604-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCICUTELLA",
        "first_name": "CAROL",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "OS006474E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001183068",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moon Township, PA

Sources for this page

Verify at the official NPI Registry.