NPIMap

Individual provider Active NPI

Angelo Illuzzi, DO

  • Pulmonary Disease Physician
  • Du Bois, PA
National Provider Identifier
1598874679
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0S008438L Issued in PA
Practice address
621 S Main St
Du Bois, PA 15801-1413
Phone
(814) 503-8573
Fax
(814) 503-8574
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 34

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

View all 34

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Sleep Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical Center 424 clinicians

Practice addresses (Care Compare)

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 371-2200

621 S Main St
Penn Highlands Pulmonology and Sleep Medici
Dubois, PA 15801-1413
Phone (814) 375-5305

Hospital & facility affiliations

  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086
  • Penn Highlands Elk Hospital, Saint Marys, PA, CCN 391315
  • Penn Highlands Brookville Hospital, Brookville, PA, CCN 391312
  • Punxsutawney Area Hospital Hospital, Punxsutawney, PA, CCN 390199

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

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
I20050811000280 PA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 2860421773 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0S008438LPAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Center CurrentSince Jul 1, 2008 Accepting new patients
Dubois Regional Medical Center CurrentSince Aug 15, 2011 Accepting new patients
Dubois Regional Medical Center Pulmonary Disease CurrentSince Jul 1, 2008 Accepting new patients
Dubois Regional Medical Center Pulmonary Disease Past Accepting new patients

Locations

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

145 Hospital Ave
Ste 202
Dubois, PA 15801
Phone (814) 375-5305

621 S Main St
Dubois, PA 15801
Phone (814) 299-7520

145 Hospital Ave
Ste 101
Dubois, PA 15801
Phone (814) 375-5305

100 Hospital Ave
Ofc
Dubois, PA 15801

1100 Million Dollar Hwy
Saint Marys, PA 15857
Phone (814) 781-5435

Interoperability endpoints

  • Direct secure messaging: anilluzzi@1285.direct.myezyaccess.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 0S008438L PA Primary

Addresses

NPPES NPI Registry

Primary practice location

621 S Main St
Du Bois, PA 15801-1413

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 503-8573

Other identifiers 6

NPPES NPI Registry
IdentifierTypeStateIssuer
740698OtherPABLUE SHIELD
13489OtherPAGEISINGER
0014671870004MedicaidPA
104291OtherPAUPMC
P00233037OtherMETRAHEALTH RAILROAD MEDI
610283400OtherBLACK LUNG

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 21, 2016.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1598874679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-503-8573",
            "fax_number": "814-503-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S MAIN ST",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011413",
            "telephone_number": "814-503-8573",
            "fax_number": "814-503-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILLUZZI",
        "first_name": "ANGELO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "0S008438L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "740698",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "13489",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014671870004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "104291",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METRAHEALTH RAILROAD MEDI",
            "identifier": "P00233037",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "610283400",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.