NPIMap

Individual provider Active NPI

Anthony J Bonetto, PA-C

  • Physician Assistant
  • Washington, PA
National Provider Identifier
1467706309
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA055072 Issued in PA
Practice address
380 W Chestnut St Ste 101
Washington, PA 15301-4658
Phone
(724) 228-1414
Fax
(724) 228-8579
NPI assigned
Oct 30, 2012
Last updated
Sep 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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 MA055072 PA Primary

Addresses

Primary practice location

380 W Chestnut St Ste 101
Washington, PA 15301-4658

Mailing address

380 W Chestnut St Ste 101
Washington, PA 15301-4658
Phone (724) 228-1414

Other identifiers 1

IdentifierTypeStateIssuer
103280143MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abonetto10627@direct.ahn.org

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
I20131014000455 PA Practitioner - Physician Assistant 6709010424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1001 9TH Ave
Brackenridge, PA 15014-1107
Phone (412) 359-8850

12311 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-3457

12351 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-6581

200 Quinn Dr
Pittsburgh, PA 15275-1055

320 E N Ave
Pittsburgh, PA 15212-4756

647 N Broad St Ext
Grove City, PA 16127-4604

701 Broad St
Suite 431
Sewickley, PA 15143-1652
Phone (412) 741-0966

Hospital & facility affiliations

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jul 13, 2013 Accepting new patients
Allegheny Clinic CurrentSince Jul 13, 2013 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

1001 9th Ave
Brackenridge, PA 15014

320 E North Ave
Ste 208
Pittsburgh, PA 15212

420 E North Ave
Ste 302
Pittsburgh, PA 15212
Phone (412) 847-2626

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

380 W Chestnut St
Ste 101
Washington, PA 15301
Phone (724) 228-1414

Organizations & group practices 5

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 9

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": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1467706309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 W CHESTNUT ST STE 101",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014658",
            "telephone_number": "724-228-1414",
            "fax_number": "724-228-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 W CHESTNUT ST STE 101",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014658",
            "telephone_number": "724-228-1414",
            "fax_number": "724-228-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONETTO",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103280143",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abonetto10627@direct.ahn.org",
            "affiliation": "N",
            "address_1": "380 W Chestnut St Ste 101",
            "city": "Washington",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153014658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.