Individual provider Active NPI

Libro Oniboni, DO

  • Family Medicine Physician
  • Saxonburg, PA
National Provider Identifier
1619983509
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS012838 Issued in PA
Practice address
101 Alwine Rd
Ste 104
Saxonburg, PA 16056-8604
Phone
(724) 352-8840
Fax
(724) 352-9033
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS012838 PA Primary

Addresses

Primary practice location

101 Alwine Rd
Ste 104
Saxonburg, PA 16056-8604

Mailing address

101 Alwine Rd
Ste 104
Saxonburg, PA 16056-8604
Phone (724) 352-8840

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
I20050801000514 PA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 1951339951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kathryn a Ryan DO and AssociatesGroup PAC ID 4082506597, 3 clinicians
Mrs Physical TherapyGroup PAC ID 0042128407, 168 clinicians

Practice addresses (Care Compare)

101 Alwine Rd
Suite 104
Saxonburg, PA 16056-8604
Phone (724) 352-8840

4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS012838PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kathryn a Ryan DO and Associates Family Medicine CurrentSince Nov 1, 2005 Accepting new patients

Locations

101 Alwine Rd
Ste 104
Saxonburg, PA 16056
Phone (724) 352-8840

Interoperability endpoints

  • Direct secure messaging: lo@krdo.medentdirect.com

Organizations & group practices 2

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 3

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1619983509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ALWINE RD",
            "address_2": "STE 104",
            "city": "SAXONBURG",
            "state": "PA",
            "postal_code": "160568604",
            "telephone_number": "724-352-8840",
            "fax_number": "724-352-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ALWINE RD",
            "address_2": "STE 104",
            "city": "SAXONBURG",
            "state": "PA",
            "postal_code": "160568604",
            "telephone_number": "724-352-8840",
            "fax_number": "724-352-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONIBONI",
        "first_name": "LIBRO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS012838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saxonburg, PA

Sources for this page

Verify at the official NPI Registry.