Individual provider Active NPI

Patrick D Pugliese, M.D.

  • Emergency Medicine Physician
  • Coal Township, PA
National Provider Identifier
1578661559
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD029341E Issued in PA
Practice address
4200 Hospital Rd
Emergency Department
Coal Township, PA 17866-9668
Phone
(570) 644-4222
NPI assigned
Sep 21, 2006
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD029341E PA Primary

Addresses

Primary practice location

4200 Hospital Rd
Emergency Department
Coal Township, PA 17866-9668

Mailing address

38935 Ann Arbor Rd
Livonia, MI 48150-3397
Phone (734) 805-0488

Other practice location 1

565 E Chocolate Ave
Hershey, PA 17033-1325
Phone (717) 533-4935

Other identifiers 1

IdentifierTypeStateIssuer
12109943OtherCAQH

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
I20101214001045 PA Practitioner - Emergency Medicine 3779521992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Georgetown University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucmg LLCGroup PAC ID 6709398969, 254 clinicians

Practice addresses (Care Compare)

1251 E Main St
Upmc Gohealth Urgent Care
Annville, PA 17003-1643
Phone (223) 245-9546

4655 William Flynn Hwy
Suite 110 Upmc Gohealth Urgent Care
Allison Park, PA 15101-2248
Phone (412) 486-3027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD029341EPAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care, PC - Pennsylvania Emergency Medicine CurrentSince Jul 25, 2024 Accepting new patients
Eastern Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Medexpress Urgent Care, PC - Monaca Emergency Medicine Past Accepting new patients

Locations

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1578661559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38935 ANN ARBOR RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503397",
            "telephone_number": "734-805-0488",
            "fax_number": "866-250-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 HOSPITAL RD",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "COAL TOWNSHIP",
            "state": "PA",
            "postal_code": "178669668",
            "telephone_number": "570-644-4222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "565 E Chocolate Ave",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170331325",
            "country_code": "US",
            "telephone_number": "717-533-4935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUGLIESE",
        "first_name": "PATRICK",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD029341E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12109943",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coal Township, PA

Sources for this page

Verify at the official NPI Registry.