Individual provider Active NPI

Joseph T Dougherty, MD

  • Family Medicine Physician
  • Monroeville, PA
National Provider Identifier
1487806402
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD441934 Issued in PA
Practice address
2550 Mosside Blvd Ste 500
Monroeville, PA 15146-3514
Phone
(412) 457-1100
Fax
(412) 457-0250
NPI assigned
Oct 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X MD441934 PA
Family Medicine Physician 207Q00000X MD441934 PA Primary

Addresses

Primary practice location

2550 Mosside Blvd Ste 500
Monroeville, PA 15146-3514

Mailing address

2550 Mosside Blvd Ste 500
Monroeville, PA 15146-3514
Phone (412) 457-1100

Other identifiers 1

IdentifierTypeStateIssuer
102745648MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jdougherty10778@direct.ahn.org

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
I20120820000171 PA Practitioner - Sports MedicinePractitioner - Family Practice 5991951352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
West Virginia University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

116 Woody Dr
BHS Neurology
Butler, PA 16001-5692
Phone (833) 955-0117

24 Doctors LN
Clarion, PA 16214-8574

Hospital & facility affiliations

  • Visiting Nurses Association Western PA Home health agency, Butler, PA, CCN 397094
  • Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Aug 1, 2012 Accepting new patients
Allegheny Clinic CurrentSince Aug 1, 2012 Accepting new patients
Butler Medical Providers Family Medicine CurrentSince Dec 1, 2021 Accepting new patients
Butler Medical Providers CurrentSince Dec 1, 2021 Accepting new patients
Butler Medical Providers Current Accepting new patients
Allegheny Clinic Family Medicine Current Accepting new patients
Allegheny Clinic Radiology PastSince Jan 15, 2025 Accepting new patients
Butler Medical Providers Past Accepting new patients

Locations

116 Woody Dr
Butler, PA 16001
Phone (724) 287-8500

160 Gallery Dr
Ste 144
Canonsburg, PA 15317

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

2566 Haymaker Rd
Monroeville, PA 15146
Phone (412) 858-2760

2550 Mosside Blvd
Ste 500
Monroeville, PA 15146
Phone (412) 457-1050

5140 Liberty Ave
Pittsburgh, PA 15224
Phone (412) 682-2100

1307 Federal St
#2
Pittsburgh, PA 15212
Phone (412) 359-8743

1307 Federal St
Fl 2
Pittsburgh, PA 15212
Phone (877) 660-9777

2027 Lebanon Church Rd
West Mifflin/Pleasant Hills, PA 15122
Phone (412) 655-8650

Interoperability endpoints

  • Direct secure messaging: jdougherty10778@direct.ahn.org
  • Direct secure messaging: joseph.dougherty@direct-address.net

Organizations & group practices 8

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 4

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": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1487806402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 MOSSIDE BLVD STE 500",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463514",
            "telephone_number": "412-457-1100",
            "fax_number": "412-457-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 MOSSIDE BLVD STE 500",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463514",
            "telephone_number": "412-457-1100",
            "fax_number": "412-457-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "JOSEPH",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-22",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD441934",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD441934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102745648",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdougherty10778@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2550 Mosside Blvd Ste 500",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151463514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.