NPIMap

Individual provider Active NPI

Andrew M Ponterio, PA-C

  • Medical Physician Assistant
  • Greensburg, PA
National Provider Identifier
1497108922
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA058332 Issued in PA
Practice address
540 South St Ste 301
Greensburg, PA 15601-2774
Phone
(724) 261-5610
Fax
(878) 295-8532
NPI assigned
Jul 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA058332 PA Primary

Addresses

Primary practice location

540 South St Ste 301
Greensburg, PA 15601-2774

Mailing address

540 South St Ste 301
Greensburg, PA 15601-2774
Phone (724) 261-5610

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
I20160829001767 PA Practitioner - Physician Assistant 4880989961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excela Health Physician Practices, IncGroup PAC ID 6204737117, 474 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

100 Excela Health Dr
Latrobe, PA 15650-9001

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

532 W Pittsburgh St
Greensburg, PA 15601-2239

540 S St
Suite 301
Greensburg, PA 15601-2774
Phone (724) 261-5610

Hospital & facility affiliations

  • Excela Health Latrobe Hospital Hospital, Latrobe, PA, CCN 390219
  • Excela Health Westmoreland Regional Hospital Hospital, Greensburg, PA, CCN 390145
  • Excela Health - Frick Hospital Hospital, Mount Pleasant, PA, CCN 390217

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. CurrentSince Jul 1, 2018 Accepting new patients
Excela Health Physician Practices, Inc CurrentSince Jul 1, 2018 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients

Locations

540 South St
Ste 301
Greensburg, PA 15601
Phone (724) 261-5610

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

100 Excela Health Dr
Ste 203B
Latrobe, PA 15650
Phone (724) 532-0866

100 Excela Health Dr
Ste 103
Latrobe, PA 15650
Phone (724) 804-1780

Interoperability endpoints

  • Direct secure messaging: andrewponterio@emg.allscriptsdirect.net

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1497108922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 SOUTH ST STE 301",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012774",
            "telephone_number": "724-261-5610",
            "fax_number": "878-295-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 SOUTH ST STE 301",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012774",
            "telephone_number": "724-261-5610",
            "fax_number": "878-295-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTERIO",
        "first_name": "ANDREW",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA058332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.