Individual provider Active NPI

George Anthony Fidacaro Jr., M.D.

  • Emergency Medicine Physician
  • Altoona, PA
National Provider Identifier
1609119676
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD458892 Issued in PA
Practice address
Upmc Altoona
620 Howard Avenue
Altoona, PA 16601-1660
Phone
(814) 889-2866
Fax
(814) 889-6785
NPI assigned
Mar 28, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD458892 PA Primary
Emergency Medicine Physician 207P00000X 25MA09876900 NJ
Emergency Medicine Physician 207P00000X 285361 NY

Addresses

Primary practice location

Upmc Altoona
620 Howard Avenue
Altoona, PA 16601-1660

Mailing address

Upmc Altoona
620 Howard Avenue
Altoona, PA 16601
Phone (814) 889-2866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160815001991 NY Practitioner - Emergency Medicine 6507150406 Reassigns benefits to 3 organizations
I20170906003055 PA Practitioner - Emergency Medicine 6507150406 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Bedford MemorialGroup PAC ID 6103811971, 23 clinicians
Upmc AltoonaGroup PAC ID 8426962465, 126 clinicians

Practice addresses (Care Compare)

10455 Lincoln Hwy
Everett, PA 15537-7046
Phone (814) 623-3550

620 Howard Ave
Altoona, PA 16601-4804
Phone (814) 889-2866

Hospital & facility affiliations

  • Upmc Altoona Hospital, Altoona, PA, CCN 390073
  • Upmc Bedford Memorial Hospital, Everett, PA, CCN 390117

Merit-based Incentive Payment System (MIPS)

Final score
86.55 of 100Reported as group
Quality
83.98
Improvement activities
40
Cost
76.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09876900NJMDEmergency Medicine Physician
MD458892PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona CurrentSince Aug 6, 2017 Accepting new patients
Buffalo Emergency Associates LLP Emergency Medicine CurrentSince Mar 15, 2024 Accepting new patients
Maimonides Medical Center - MMC Emergency Physicians FPP Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Upmc Bedford Memorial Emergency Medicine CurrentSince Aug 6, 2017 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Jul 1, 2016 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Upmc Bedford Memorial CurrentSince Aug 6, 2017 Accepting new patients
Upmc Altoona CurrentSince Aug 6, 2017 Accepting new patients
Centre Emergency Medical Associates, PC. Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

10455 Lincoln Hwy
Everett, PA 15537
Phone (814) 623-3550

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

Interoperability endpoints

  • Direct secure messaging: gfidacaro515191@upmc.direct-ci.com
  • Direct secure messaging: georgefidacaro@mai.allscriptsdirect.net

Organizations & group practices 9

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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1609119676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UPMC ALTOONA",
            "address_2": "620 HOWARD AVENUE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "16601",
            "telephone_number": "814-889-2866",
            "fax_number": "814-889-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UPMC ALTOONA",
            "address_2": "620 HOWARD AVENUE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166011660",
            "telephone_number": "814-889-2866",
            "fax_number": "814-889-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIDACARO",
        "first_name": "GEORGE",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD458892",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA09876900",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "285361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.