Individual provider Active NPI

Joseph Lamantia, D.O.

  • Family Medicine Physician
  • Indiana, PA
National Provider Identifier
1467428979
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS012719 Issued in PA
Practice address
1690 Saltsburg Ave
Indiana, PA 15701-3525
Phone
(724) 463-7630
Fax
(724) 463-7632
NPI assigned
Feb 24, 2006
Last updated
Dec 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS012719 PA Primary

Addresses

Primary practice location

1690 Saltsburg Ave
Indiana, PA 15701-3525

Mailing address

1690 Saltsburg Ave
Indiana, PA 15701-3525
Phone (724) 463-7630

Other identifiers 2

IdentifierTypeStateIssuer
001759577OtherBLUE CROSS
0019602180003MedicaidPA

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
I20051216000288 PA Practitioner - Emergency MedicinePractitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 6204857386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Osteopathic Manipulative Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ahn Hospitalist Group LTDGroup PAC ID 1153543251, 69 clinicians

Practice addresses (Care Compare)

1690 Saltsburg Ave
Indiana, PA 15701-3525
Phone (724) 463-7630

835 Hospital Rd
Indiana, PA 15701-3629
Phone (724) 357-7121

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Lamantia, DO PC Family Medicine CurrentSince Sep 10, 2005 Accepting new patients
Ahn Hospitalist Group, LTD CurrentSince Dec 2, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Indiana Regional Medical Center Past Accepting new patients

Locations

1690 Saltsburg Ave
Indiana, PA 15701
Phone (724) 463-7630

835 Hospital Rd
Indiana, PA 15701
Phone (724) 357-7000

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 11

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1467428979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 SALTSBURG AVE",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013525",
            "telephone_number": "724-463-7630",
            "fax_number": "724-463-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 SALTSBURG AVE",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013525",
            "telephone_number": "724-463-7630",
            "fax_number": "724-463-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMANTIA",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS012719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "001759577",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019602180003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.