Individual provider Active NPI

Rebecca L Plute, M.D.

  • Family Medicine Physician
  • Canonsburg, PA
National Provider Identifier
1629068911
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD073787L Issued in PA
Practice address
1 N Central Ave Ste 400
Canonsburg, PA 15317-1301
Phone
(724) 746-7030
Fax
(724) 703-1650
NPI assigned
Oct 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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 MD073787L PA Primary

Addresses

Primary practice location

1 N Central Ave Ste 400
Canonsburg, PA 15317-1301

Mailing address

1 N Central Ave Ste 400
Canonsburg, PA 15317-1301
Phone (724) 746-7030

Other identifiers 2

IdentifierTypeStateIssuer
1324718OtherPAHIGHMARK
001850440MedicaidPA

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
I20150611001660 PA Order and Referring Only - Family PracticePractitioner - Family Practice 6406983469

National Provider Directory

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Amedisys Hospice of PAUniontown, PA, CCN 391544 Hospice Contracted Managing Employee Jul 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1629068911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N CENTRAL AVE STE 400",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171301",
            "telephone_number": "724-746-7030",
            "fax_number": "724-703-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N CENTRAL AVE STE 400",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171301",
            "telephone_number": "724-746-7030",
            "fax_number": "724-703-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUTE",
        "first_name": "REBECCA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD073787L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1324718",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001850440",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.