Individual provider Active NPI

Rachel L Bovalina, PA-C

  • Physician Assistant
  • Bethel Park, PA
National Provider Identifier
1487082145
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA056528 Issued in PA
Practice address
2000 Oxford Dr Ste 211
Bethel Park, PA 15102
Phone
(412) 283-0260
Fax
(412) 283-0070
NPI assigned
Oct 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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 MA056528 PA Primary

Addresses

Primary practice location

2000 Oxford Dr Ste 211
Bethel Park, PA 15102

Mailing address

2000 Oxford Dr Ste 211
Bethel Park, PA 15102-1898
Phone (412) 283-0260

Other identifiers 1

IdentifierTypeStateIssuer
103226130MedicaidPA

Other names 1

  • Rachel Chichilla Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140411000512 PA Practitioner - Physician Assistant 4789816471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Hills Orthopaedic Surgery Associates, PCGroup PAC ID 8921045774, 22 clinicians

Practice addresses (Care Compare)

2000 Oxford Dr
Bethel Park, PA 15102-1898
Phone (412) 283-0260

2000 Oxford Dr
Suite 211
Bethel Park, PA 15102-1827

Hospital & facility affiliations

  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA056528PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Hills Orthopaedic Surgery Associates, PC CurrentSince Jan 8, 2018 Accepting new patients
Allegheny Clinic Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

2000 Oxford Dr
Ste 211
Bethel Park, PA 15102
Phone (412) 283-0260

100 Siena Dr
Ste 165
Upper St Clair, PA 15241
Phone (412) 283-0260

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1487082145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DR STE 211",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021898",
            "telephone_number": "412-283-0260",
            "fax_number": "412-283-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DR STE 211",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "15102",
            "telephone_number": "412-283-0260",
            "fax_number": "412-283-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVALINA",
        "first_name": "RACHEL",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103226130",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "CHICHILLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.