Individual provider Active NPI

Anthony Dalessio, MD

  • Emergency Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1588631931
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD056882L Issued in PA
Practice address
400 Penn Center Blvd
Suite 602
Pittsburgh, PA 15235-5613
Phone
(412) 823-3782
Fax
(412) 823-5041
NPI assigned
Mar 3, 2006
Last updated
Feb 25, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD056882L PA Primary
Phlebology Physician 202K00000X MD056882L PA

Addresses

Primary practice location

400 Penn Center Blvd
Suite 602
Pittsburgh, PA 15235-5613

Mailing address

1901 Butterfield Rd
Suite 220
Downers Grove, IL 60515-7915
Phone (630) 725-2768

Other identifiers 2

IdentifierTypeStateIssuer
0015373520005MedicaidPA
MD056882LOtherPALICENSE NUMBER

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
I20080922000115 PA Practitioner - Emergency Medicine 0042387888 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.59 of 100Reported as group
Quality
88.93
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99 of 100Reported as group
Quality
95.9
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD056882LPAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahn Emergency Group of West Penn LTD. Emergency Medicine CurrentSince Oct 1, 2014 Accepting new patients
Ahn Emergency Group of Pittsburgh LTD. Emergency Medicine CurrentSince Oct 1, 2014 Accepting new patients
Ahn Emergency Group of Forbes LTD. Emergency Medicine CurrentSince Dec 1, 2014 Accepting new patients
Ahn Observation Group LLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Ahn Emergency Group of Canonsburg LTD. Emergency Medicine CurrentSince Oct 1, 2014 Accepting new patients
Pennsylvania Phlebology Group PC Phlebology PastSince Nov 1, 2010 Accepting new patients

Locations

100 Medical Blvd
Canonsburg, PA 15317
Phone (412) 359-4138

565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308

2570 Haymaker Rd
Monroeville, PA 15146
Phone (412) 858-2000

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

12351 Perry Hwy
Wexford, PA 15090
Phone (412) 359-3030

Organizations & group practices 7

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235520000000",
    "number": "1588631931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 BUTTERFIELD RD",
            "address_2": "SUITE 220",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605157915",
            "telephone_number": "630-725-2768",
            "fax_number": "630-725-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PENN CENTER BLVD",
            "address_2": "SUITE 602",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355613",
            "telephone_number": "412-823-3782",
            "fax_number": "412-823-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALESSIO",
        "first_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2009-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD056882L",
            "primary": true
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "PA",
            "license": "MD056882L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015373520005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MD056882L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.