Individual provider Active NPI

Daniel Solomon Woredekal

  • Hospitalist Physician
  • Jefferson Hills, PA
National Provider Identifier
1477080042
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD470621 Issued in PA
Practice address
565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone
(412) 267-6810
Fax
(412) 267-6817
NPI assigned
May 15, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 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 PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MD470621 PA
Student in an Organized Health Care Education/Training Program 390200000X OH
Hospitalist Physician 208M00000X MD470621 PA Primary

Addresses

Primary practice location

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703

Mailing address

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone (412) 267-6810

Other practice location 1

500 Gypsy Ln
Youngstown, OH 44504-1315
Phone (330) 884-4250

Other practice location 2

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 773-1941

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200902002547 PA Practitioner - Hospitalist 6608293808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2016
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)

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone (412) 267-6901

Hospital & facility affiliations

  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265
  • Canonsburg General Hospital Hospital, Canonsburg, PA, CCN 390160
  • Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050
  • Canonsburg General Hospital Inpatient rehabilitation facility, Canonsburg, PA, CCN 39T160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD470621PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Multi-Specialty CurrentSince Sep 1, 2024 Accepting new patients
Allegheny Clinic Multi-Specialty Current Accepting new patients
Allegheny Clinic CurrentSince Sep 1, 2024 Accepting new patients
Jefferson Regional Medical Center Past Accepting new patients
Canonsburg General Hospital Multi-Specialty Past Accepting new patients

Locations

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

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

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

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1477080042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 COAL VALLEY RD",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253703",
            "telephone_number": "412-267-6810",
            "fax_number": "412-267-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 COAL VALLEY RD",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253703",
            "telephone_number": "412-267-6810",
            "fax_number": "412-267-6817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Gypsy Ln",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445041315",
            "country_code": "US",
            "telephone_number": "330-884-4250",
            "fax_number": "330-884-0651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Dutch Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Beaver",
            "state": "PA",
            "postal_code": "150099727",
            "country_code": "US",
            "telephone_number": "724-773-1941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOREDEKAL",
        "first_name": "DANIEL",
        "middle_name": "SOLOMON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-15",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD470621",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD470621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Hills, PA

Sources for this page

Verify at the official NPI Registry.