NPIMap

Individual provider Active NPI

Michael L Mlecko

  • Gastroenterology Physician
  • Wexford, PA
National Provider Identifier
1487644720
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD070118L Issued in PA
Practice address
5500 Brooktree Rd
Suite 201
Wexford, PA 15090-9260
Phone
(724) 933-1420
Fax
(724) 933-1439
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD070118L PA Primary

Addresses

Primary practice location

5500 Brooktree Rd
Suite 201
Wexford, PA 15090-9260

Mailing address

5500 Brooktree Rd
Suite 201
Wexford, PA 15090-9260
Phone (724) 933-1420

Other identifiers 1

IdentifierTypeStateIssuer
0019227270001MedicaidPA

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
I20080204000332 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 4385726074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Temple University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

2 Hot Meal St
Pittsburgh, PA 15203-2348

300 Halket St
Pittsburgh, PA 15213-3108

3285 Babcock Blvd
Pittsburgh, PA 15237-2829
Phone (412) 318-0075

5500 Brooktree Rd
Suite 201
Wexford, PA 15090-9260
Phone (724) 933-1420

875 N Hermitage Rd
Hermitage, PA 16148-3278

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy127
Upper gastrointestinal (GI) endoscopy for acid reflux138

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine Inc CurrentSince Dec 1, 2021 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Upmc Community Medcine Inc CurrentSince Dec 1, 2021 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Upmc Community Medicine Inc Gastroenterology Past Accepting new patients

Locations

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

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

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

3285 Babcock Blvd
Pittsburgh, PA 15237
Phone (412) 318-0075

5500 Brooktree Rd
Ste 201
Wexford, PA 15090
Phone (724) 933-1420

Interoperability endpoints

  • Direct secure messaging: michael.l.mlecko@upmcdirect.com

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1487644720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 BROOKTREE RD",
            "address_2": "SUITE 201",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909260",
            "telephone_number": "724-933-1420",
            "fax_number": "724-933-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 BROOKTREE RD",
            "address_2": "SUITE 201",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909260",
            "telephone_number": "724-933-1420",
            "fax_number": "724-933-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLECKO",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD070118L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019227270001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.