Active NPI
Joseph T Dougherty, MD
- Family Medicine Physician
- Monroeville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD441934
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102745648 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120820000171 | PA | Practitioner - Sports Medicine | 5991951352 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- West Virginia University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Independence Health System Butler Memorial Hospita
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Butler Medical Providers | Family Medicine | Current | Accepting new patients |
| Butler Medical Providers | Current | Accepting new patients | |
| Butler Medical Providers | Current | Accepting new patients | |
| Allegheny Clinic | Family Medicine | Current | Accepting new patients |
| Allegheny Clinic Radiology | Past | 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
- jdougherty10778@direct.ahn.org
- 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.
-
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
- Internal Medicine Physician
- Cranberry Township, PA
- NPI 1720414865
-
- Rural Health Clinic/Center
- Fairmount City, PA
- NPI 1386253854
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1992183164
-
- Anatomic Pathology & Clinical Pathology Physician
- Butler, PA
- NPI 1447283031
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Butler, PA
- NPI 1821162314
Hospital
-
- Home Health Agency
- Butler, PA
- NPI 1104889567
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.