NPIMap

Individual provider Active NPI

Nicholas Kinback, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Altoona, PA
National Provider Identifier
1497167654
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MD462139 Issued in PA
Practice address
1402 9TH Ave
Altoona, PA 16602
Phone
(814) 940-2000
Fax
(814) 569-1878
NPI assigned
May 22, 2014
Last updated
Jul 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD462139 PA Primary

Addresses

Primary practice location

1402 9TH Ave
Altoona, PA 16602

Mailing address

1402 9TH Ave
Altoona, PA 16602-2415
Phone (814) 940-2000

Other practice location 1

320 E North Ave
Allegheny General Hospital
Pittsburgh, PA 15212-4772
Phone (412) 359-4971

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kinbacknc@upmc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD, DC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190705001047 PA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 0143562686 Reassigns benefits to 3 organizations
I20240415001462 MD Practitioner - Pain Management 0143562686 Reassigns benefits to 2 organizations
I20250108000221 DC Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 0143562686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain and Spine Specialists of Maryland LLCGroup PAC ID 2668628124, 32 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians

Practice addresses (Care Compare)

1120 Professional CT
Hagerstown, MD 21740-8040
Phone (301) 760-3226

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

2702 Back Acre Cir
Suite 290B
Mount Airy, MD 21771-7769
Phone (301) 703-8767

3109 Fairway Dr
Altoona, PA 16602-4475
Phone (814) 414-4434

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.08 of 100Reported as group
Quality
85.24
Improvement activities
40
Cost
69.95

Merit-based Incentive Payment System (MIPS)

Final score
92.08 of 100Reported as group
Quality
76.5
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pain and Spine Specialists of Maryland, LLC CurrentSince Nov 1, 2024 Accepting new patients
Allegheny Surgery Center LLC CurrentSince Jul 15, 2019 Accepting new patients
Allegheny Pain Management PC CurrentSince Jul 15, 2019 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

12252 Williams Rd SE
Ste 101
Cumberland, MD 21502
Phone (240) 362-7370

909 Seton Dr
Ste B
Cumberland, MD 21502
Phone (301) 760-3226

6816 Deerpath Rd
Elkridge, MD 21075
Phone (410) 757-5019

5303 Spectrum Dr
Ste A
Frederick, MD 21703
Phone (240) 215-6047

1120 Professional Ct
Hagerstown, MD 21740
Phone (301) 363-1063

2702 Back Acre Cir
Ste 290B
Mount Airy, MD 21771
Phone (301) 760-3317

6000 Executive Blvd
Ste 60
Rockville, MD 20852
Phone (301) 770-6301

6000 Executive Blvd
Ste 602
Rockville, MD 20852
Phone (301) 770-6301

9707 Medical Center Dr
Ste 100
Rockville, MD 20850
Phone (301) 760-3357

1402 9th Ave
Altoona, PA 16602
Phone (814) 940-2000

3109 Fairway Dr
Altoona, PA 16602
Phone (814) 696-8886

100 Emerson Ln
Ste 1507
Bridgeville, PA 15017
Phone (412) 506-0334

701 Boyce Rd
Bridgeville, PA 15017
Phone (412) 220-2336

2614 Memorial Blvd
Ste A
Connellsville, PA 15425
Phone (724) 638-4537

240 W 11th St
Ste 103
Erie, PA 16501
Phone (814) 790-5111

514 Pellis Rd
Greensburg, PA 15601
Phone (724) 858-4662

850 Clairton Blvd
Ste 3300
Pittsburgh, PA 15236
Phone (412) 532-1209

315 S Allen St
Ste 325A
State College, PA 16801
Phone (814) 285-3163

101 Trich Dr
Ste 4
Washington, PA 15301
Phone (724) 503-4431

119 Vip Dr
Wexford, PA 15090
Phone (412) 533-2202

119 Vip Dr
Ste G015
Wexford, PA 15090
Phone (412) 533-2202

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11878/brand/3/csg/1/fhir/r4
  • Direct secure messaging: kinbacknc@upmc.edu
  • Direct secure messaging: nicholas.kinback.1@11878.direct.athenahealth.com
  • Direct secure messaging: nicholas.kinback.3@11878.direct.athenahealth.com
  • Direct secure messaging: nicholas.kinback.4@11878.direct.athenahealth.com
  • Direct secure messaging: nicholas.kinback@direct.einstein.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 56

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

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1497167654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 9TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022415",
            "telephone_number": "814-940-2000",
            "fax_number": "814-569-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 9TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "16602",
            "telephone_number": "814-940-2000",
            "fax_number": "814-569-1878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 E North Ave",
            "address_2": "Allegheny General Hospital",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152124772",
            "country_code": "US",
            "telephone_number": "412-359-4971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINBACK",
        "first_name": "NICHOLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-22",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "MD462139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kinbacknc@upmc.edu",
            "affiliation": "N",
            "address_1": "1402 9th Ave",
            "city": "Altoona",
            "state": "PA",
            "country_code": "US",
            "postal_code": "16602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.